What Cohere Health Auth does
Cohere Health makes a clinical intelligence platform, Cohere Unify, for health plan operations, with prior authorization at its centre. The platform automates utilization management decisions by matching clinical evidence to medical necessity criteria, while keeping clinicians in control of the outcome, and extends to payment integrity, appeals management, care management, claims operations and HEDIS quality gap closure. Utilization management is offered in-house, as a delegated specialty service covering musculoskeletal, cardiovascular, gastrointestinal, sleep and diagnostic imaging care, through an API, and through a Policy Studio for writing clinical policies. The company sells to health plans, and providers use a portal to submit requests and check authorization status. Pricing is not published and is arranged with each plan.
How Cohere Health Auth compares with its closest alternatives
None of the 5 closest alternatives has a free plan, and neither does Cohere Health Auth. 4 of the 5 offer an API, as Cohere Health Auth does. Cohere Health Auth offers a web app. Of the 3 alternatives with platforms on record, all 3 offer a web app. Cohere Health Auth was founded in 2019; the alternatives were founded between 2012 and 2020, 3 of them earlier. Cohere Health Auth is based in Boston, United States; all the 4 alternatives with a known headquarters are in the United States too.