Cohere PaaS Intelligent Prior Authorization Reviews

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.