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Cohere Unify™ Intelligent Prior Authorization
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Prior auth is broken. Cohere fixes it.
Then, you can focus on improving outcomes.


TRANSFORM PRIOR AUTH


FROM TRANSACTION


TO CARE JOURNEY


MANAGEMENT


THE PROBLEM


THE PRIOR AUTH MAZE CAN SLOW CARE ACCESS AND HINDER QUALITY OUTCOMES.


THE ANSWER


INTELLIGENT PRIOR AUTHORIZATION

Our Solutions


COHERE UNIFY™ HELP HEALTH PLANS DIGITIZE THE ENTIRE PROCESS, ENABLING REGULATORY
COMPLIANCE WHILE ALSO DRIVING THE BEST OUTCOMES.

Intake
Cohere Unify™
Decisioning
Cohere Platform
Transformation
Cohere Complete™


COHERE UNIFY INTAKE


DIGITIZES REQUESTS FROM ALL SOURCES AND CONSOLIDATES THEM INTO AN AUTOMATED
WORKFLOW.

Eliminates manual steps regardless of request source
Enables regulatory TAT and transparency compliance
Optional high-adoption portal can replace phone, fax, and other portals


COHERE UNIFY DECISIONING


DRAMATICALLY IMPROVES TAT AND PROVIDER EXPERIENCE USING AI AND OTHER ADVANCED
TECHNOLOGY.

Automates your preferred
clinical policies
Pre-processes requests that require clinician review
Enables shorter “green-light” path for qualifying providers


COHERE UNIFY TRANSFORMATION


TRIGGERS INTERVENTIONS TO IMPROVE OUTCOMES ACROSS THE ENTIRE CARE JOURNEY.

Suggests alternative care options before request submission
Consolidates authorizations for the entire episode
Develops patient cohort-specific care paths

Cohere Platform
Cohere
Unify™
Cohere
Complete™



COHERE PLATFORM


DRIVES COHERE UNIFY’S ADVANCED CAPABILITIES WITH INNOVATIVE TECHNOLOGY AND
DESIGN

The Cohere Platform incorporates AI/machine learning, rules, and advanced
analytics engines, plus current integration/interoperability capabilities
(including FHIR) to drive Cohere Unify’s innovative, end-to-end capabilities.
Cohere Platform


COHERE COMPLETE™


LEVERAGES COHERE UNIFY PLUS INTAKE AND CLINICAL STAFF TO PROVIDE FULLY
OUTSOURCED & DELEGATED SPECIALTY UM SERVICES.

For select medical specialties, Cohere Complete provides a fully outsourced,
delegated service to manage your plan’s entire UM operations.
Cohere Complete


OUR CAPABILITIES HAVE DRIVEN THESE UNIQUE, ACTUAL RESULTS


OUR CAPABILITIES HAVE DRIVEN THESE UNIQUE, ACTUAL RESULTS

70%


FASTER


ACCESS TO PATIENT CARE

Driven by real-time clinical intelligence at the point of diagnosis
63%


DECREASE


IN DENIAL RATES

Driven by evidence-based intelligence that guides clinically appropriate
requests before submission
18-43%


DECREASE


IN ADVERSE OUTCOMES

Driven by AI/ML-based clinical suggestions (“nudges”) and analytic features in
the prior authorization workflow


GET STARTED WITH COHERE




ACCREDITATIONS


AWARDS





SEE A REAL STORY OF HOW OUR APPROACH TO PRIOR AUTHORIZATION IMPROVES PATIENT
OUTCOMES WHILE ALSO SAVING TIME AND COST.




READY TO LEARN MORE?

Contact Us Today
239 Causeway Street, Suite 200
Boston, MA 02114
(833) 283-0033



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