Cohere Health
AI prior auth that speeds care
Boston, United States
Cohere Health is an AI-driven prior authorization platform that automates a significant portion of prior authorizations and integrates with EHRs for in-workflow authorization.
Source: Digital.Health
Digital.Health provided this information. To learn more and get deep data on digital health companies, please visit them here.
Visit Digital.Health →Only accessible to MedStartr community members.
Join nowHow We Help
Only accessible to MedStartr community members.
Join nowProblem Statement
The inefficiency and burden of prior authorizations in healthcare, which often lead to delays in patient care and increased administrative costs.
Core Technology
AI-driven prior authorization platform, FHIR API-enabled authorizations
Key Differentiators
Automates up to 90% of prior authorizations; Integrates with EHRs for in-workflow authorization; 85% of authorizations receive immediate determination (approved or flagged) by AI; No claim denial made exclusively by AI; all final denial decisions include human review by peer doctors or nurses; Supports FHIR-based electronic PA across in-house, delegated, and API offerings; Compliant with CMS Interoperability & Prior Authorization Final Rule (CMS-0057-F)
Clinical Focus
Musculoskeletal Care; Cardiology; Pain Management; Physical Therapy; Diagnostic Imaging; Sleep
Company Info
- Business Model
- B2B2C
- Founded
- 2019
- Total Funding
- Only accessible to MedStartr community members. Join now
Only accessible to MedStartr community members.
Join now - Website
- www.coherehealth.com/
Categories
Disease Areas
Technologies
Clinical & IP
Clinical Validation
CMS-0057-F compliant with FHIR API. Validated through real-world deployment: 12 million prior auth requests annually, 94% provider satisfaction, 85% real-time approval rate. No formal FDA trials (platform is not a medical device).
Only accessible to MedStartr community members.
Join nowWhat do you think of Cohere Health?
A HUGE part of what early stage companies, and even late stage ones, need and get on MedStartr is honest feedback from actual patients, clinicians, hospital leaders and industry insiders. It is very easy to get tunnel vision as a founder. Please tell the team that runs this company what you think.
Only accessible to MedStartr community members.
Join now