Cohere PaaS Intelligent Prior Authorization Description

Cohere helps health insurance plans automate the prior authorization process in-house and end-to-end using clinical intelligence. Health plans can license Cohere’s PaaS intelligent authorization directly to their internal utilization management staff. Our client health plans are able to achieve significant administrative efficiencies as well as faster and better patient outcomes. Cohere offers a modular and configurable suite of solutions for health plans. Digitizes prior authorization requests and combines them into a single automated workflow. Automates prior approval decisions using policies preferred by health plans and accelerates manual reviews. Using AI/ML and automated capabilities, it helps clinical reviewers to adjudicate complex requests. Utilizes AI/ML, advanced analytics and clinical intelligence to improve utilization management performance. Innovative, specialty-specific programs improve patient and population outcomes.

Cohere PaaS Intelligent Prior Authorization Alternatives
Cohere Unify Reviews
Cohere Unify
The Cohere Unify platform supports our intelligent prior authorization solutions, including touchless and predictive technology, evidence-based clinical information, and other advanced features. Our technologies reduce or eliminate the manual steps to create a fully automated process from end-to-end. This predictive capability allows health plans to virtually eliminate the prior authorization workflow steps. Instead, the system can automatically create specific care plans based upon patient and population auth data and claims, including multiple services which can be pre-approved before they are requested. Our touchless and predictive technology is based on clinical criteria that are based on evidence for certain specialties. Single sign-on functionality with Availity NaviNet and other common portal technologies. The rules configuration and deployment has been proven to scale across millions of transactions.
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Azalea EHR Reviews
Azalea EHR
Azalea is a leader in interoperable cloud-based healthcare services and solutions. Azalea's platform offers electronic health records with integrated telehealth functionality, revenue cycle management, and analytic software. Azalea's integrated platform is focused on customer success and can be used by all practices and hospitals ambulatory strategies. It instantly improves cash flow and clinical outcomes through care coordination innovation and revenue cycle performance.
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AuthParency Reviews
AuthParency
Prior Authorization with AuthParency Prior authorization is becoming a greater administrative burden for healthcare providers. AuthParency™, our automated prior authorization system, is powered by AI and Machine Learning (ML). This advanced system can reduce your team's time for prior authorization by half. It is compatible with all EHRs and practice management systems AuthParency can help: Analyze payers' tendencies Reduce the number of days patients spend in care Improve patient outcomes Stopping losses from non-reimbursable service Identify financial toxicity burdens Analyze population health data Track disparities Pharmaceutical companies
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Veradigm AccelRx Reviews
Veradigm AccelRx
Veradigm AccelRx is a free, automated, comprehensive solution that helps you streamline specialty medication fulfillment for patients. You will have better outcomes and medication adherence, and your staff will receive fewer phone calls or faxes. AccelRx combines electronic enrollment, consent authorization, prior authorization and script into one system that can significantly reduce time-to-fulfillment for specialty drugs with any payer. With a click, automatically populate patient data on enrollment forms and other forms. One platform that simplifies specialty medication management. You can now manage most specialty drugs from one place, including electronic prior authorisation (ePA). Your existing electronic health record (EHR), will allow you to access your enhanced specialty medication management.
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Company Details

Company:
United States
Headquarters:
United States
Website:
coherehealth.com/paas

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Cohere PaaS Intelligent Prior Authorization Screenshot 1
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