Cohere Health — AI for Medical Billing & Coding

Cohere Health addresses the operational friction that occurs when health plan functions operate independently, creating fragmented workflows and duplicated effort. By connecting intelligence across utilization management, payment integrity, appeals, care management, quality, and claims operations, the platform allows insights generated in one function to inform decisions in another. For professionals managing health plan administration, this connected approach reduces administrative burdens and accelerates patient access to care through capabilities like touchless prior authorizations and automated clinical evidence extraction. The platform combines domain-specific artificial intelligence with human oversight, ensuring that administrative work is automated while human experts remain in control of critical decisions. While the system provides specialized tools for specialties such as musculoskeletal care and cardiovascular health, integrating such a platform requires alignment with existing health plan operations and IT infrastructure. It serves health plans and providers seeking to improve efficiency, quality, and financial performance without sacrificing clinical judgment.