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What is Cohere PaaS Intelligent Prior Authorization?

Cohere empowers health plans to revolutionize their operations by integrating advanced clinical intelligence, which enables complete automation of the prior authorization process within their organizations. By directly licensing Cohere's Platform as a Service (PaaS) for smart prior authorization, health plans enable their utilization management teams to utilize the system effortlessly. As a result, these client health plans witness significant enhancements in administrative efficiency while also achieving improved patient outcomes that are both swifter and more effective. Cohere provides a tailored, modular solution suite specifically crafted for health plans, which consolidates all prior authorization requests into an organized, automated workflow. The platform efficiently automates the decision-making for prior authorizations in accordance with the health plans' chosen policies and expedites the manual review process. Additionally, it supports clinical reviewers in navigating complex requests by leveraging responsible AI/ML and its automated capabilities. By leveraging clinical intelligence through AI/ML and advanced analytics, Cohere significantly boosts the efficiency of utilization management. Moreover, it plays a vital role in enhancing patient and population health outcomes through innovative, specialty-specific programs. This holistic strategy firmly establishes Cohere as a frontrunner in the health technology industry, enabling health plans to achieve their operational objectives with greater ease and effectiveness. Ultimately, this innovative integration not only streamlines workflows but also fosters better relationships between health plans and their members, creating a more patient-centered approach.

What is Clearstep?

Empowering patients to take charge of their healthcare requirements and connect with the most appropriate services is our primary goal. Our strategy not only helps healthcare providers and systems attract new patients but also enhances the satisfaction and retention of existing ones by creating a more consumer-centric experience. This focus on engagement ultimately contributes to better health outcomes and patient involvement while optimizing workflows and enhancing overall operational efficiency. Furthermore, we assist health plans and payers by equipping their members with self-service tools for symptom evaluation, triage, and clear direction to discover the most suitable, convenient, and cost-efficient in-network care solutions. We partner with organizations in the fields of digital health, healthcare innovation, and healthcare SaaS to enhance their digital health services with clinically-validated AI chat solutions, ensuring that patients receive prompt and precise support in managing their health. By harnessing technology and establishing strategic partnerships, we strive to revolutionize the accessibility and delivery of healthcare services, ultimately aiming for a system that is more responsive to patient needs. This holistic approach not only benefits patients but also strengthens the overall healthcare ecosystem.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Cohere Health

Company Location

United States

Company Website

coherehealth.com/paas

Company Facts

Organization Name

Clearstep

Date Founded

2018

Company Location

United States

Company Website

www.clearstep.health/

Categories and Features

Categories and Features

Chatbot

Call to Action
Context and Coherence
Human Takeover
Inline Media / Videos
Machine Learning
Natural Language Processing
Payment Integration
Prediction
Ready-made Templates
Reporting / Analytics
Sentiment Analysis
Social Media Integration

Patient Case Management

Activity Tracking
Assessment Notes
Billing & Invoicing
Calendar Management
Candidate Identification
Case List Management
Eligibility Verification
HIPAA Compliant
Medical History Records
Patient Records
Referral Management
Treatment Planning

Patient Engagement

Appointment Scheduling
Care Planning
Collaboration
Messaging
Mobile Access
Patient Education
Patient Portal
Personal Health Record
Progress Tracking
Self Management

Patient Management

Admissions Management
Bed Management
Discharge Management
Historical Reporting
Patient Flow Management
Patient Location Tracking
Patient Monitoring
Real Time Reporting
Waiting Time Tracking

Patient Scheduling

Analytics/Reporting
Approval Process Control
HIPAA Compliant
Mobile Access
Notifications/Alerts
Online Scheduling
Patient Communications
Patient Intake
Patient Portal
Patient Records Management
Payment Processing
Reminders
SMS Messaging

Remote Patient Monitoring

Dashboard
Data Import/Export
HIPAA Compliant
Mobile Payments
Monitoring Device Integration
Patient Engagement
Patient Portal
Patient Records Management
Patient Surveys
Reminders
Virtual Visits

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