Cohere Health is built for payers and provider networks that want to automate prior authorization at scale. Its Decision product is positioned to automate 50–90% of prior authorization decisions, reducing manual review volume while keeping clinical guardrails in place.
The platform integrates with major EHR, UM, and administrative systems, enabling data flow without forcing providers into separate portals. That payer-first design makes Cohere especially strong for organizations focused on utilization management, authorization turnaround time, and clinical policy alignment.
Main tradeoff: because it is payer-led, provider adoption is tightly coupled to payer rollout. For provider groups, the value is highest when their largest payers are already live on Cohere's platform.