Cohere Health
by Cohere Health
Prior authorization and utilization management for health plans
Reviewed by the the30top research team · Last reviewed 2026-10-27
Overview
Cohere Health sells clinical intelligence to health plans, with Cohere Unify covering utilization management, care management, quality and HEDIS, appeals, and payment and claims workflows. It automates prior authorization and digitizes care requests, and the homepage names Humana and Geisinger Health Plan as customers. The buyer is the payer, not the provider office, so this suits plans rather than clinics trying to submit authorizations. EHR integrations, certifications and pricing are not listed.
Our verdict
A payer-side platform for prior authorization and utilization management. Providers should look at provider-facing tools instead, and plans should ask for security and integration documentation.
Best for
Health plans that want to automate prior authorization and utilization management.
Avoid if
You are a provider that needs to submit authorizations to payers.
Pros
- Purpose-built for payer prior authorization and utilization management
- Covers appeals, payment integrity and quality in one platform
- Large named payer customer
Cons
- No published pricing
- Payer-side product, so not for provider offices
- No certifications or integration list on the homepage
Key capabilities
Frequently asked questions
Who is Cohere Health for?
Health plans running utilization management, appeals, payment integrity and care management.
What is Cohere Unify?
It is the platform name Cohere Health uses for its clinical intelligence suite.
Does Cohere Health publish pricing?
No. The site offers a personalized demo.