Cohere Health is a healthcare technology company that develops AI-powered clinical intelligence solutions. Its platform primarily serves health plans and medical providers, focusing on streamlining prior authorization processes and improving payment integrity. The company operates at significant scale, supporting over 660,000 providers and processing more than 12 million prior authorization requests annually.
The company's core product is an AI-powered clinical intelligence platform designed to automate utilization management. By using clinically trained artificial intelligence, it enables up to 85% of authorization decisions to be approved in real-time. This approach aims to reduce administrative costs for payers and accelerate care access for patients. A second product line addresses payment integrity, helping to reduce waste and ensure providers are paid accurately.
Technical work at Cohere Health centers on artificial intelligence, clinical decision-making, and automation. The company's solutions are built for the healthcare, health insurance, and medical provider sectors, where administrative complexity and cost are persistent challenges.
