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What is Cohere Unify?

The Cohere Unify platform significantly improves our intelligent prior authorization solutions by incorporating touchless and predictive technologies, evidence-based clinical content, and a variety of advanced features. Through the application of these technologies, we can drastically reduce or entirely eliminate the manual steps needed to achieve a seamless, fully automated prior authorization process. This predictive capability enables health plans to almost completely do away with the conventional stages of prior authorization. As a result, the system is capable of autonomously creating customized care plans based on patient and population authorization and claims data, allowing for the pre-approval of multiple services prior to any actual requests. We utilize evidence-supported clinical criteria tailored for specific specialties, which work in harmony with our touchless and predictive technologies. Our platform also includes dependable single sign-on functionalities compatible with popular portals like Availity and NaviNet. Moreover, the validation of our rules configuration and implementation demonstrates its effectiveness in managing transactions across millions of cases, highlighting the scalability and robustness of our system. Ultimately, this cutting-edge approach not only enhances operational efficiency but also improves accuracy in healthcare processes, benefitting all stakeholders involved. With such advancements, we are paving the way for a more streamlined and effective healthcare system.

What is ActiveHealth CareEngine?

The prosperity of your organization is fundamentally tied to the welfare of its employees. By leveraging a wide range of interconnected data—spanning consumer behavior, pharmacy records, clinical metrics, and financial details—we can reveal significant opportunities for both groups and individuals. This is where our CareEngine technology becomes essential. Our methodology consists of translating and scrutinizing this extensive data through evidence-based clinical analytics that have been peer-reviewed, enabling us to pinpoint strategies for improving care quality. We emphasize identifying programs, creating a cohesive digital experience, and offering tangible insights for coaches and clinicians while focusing on health initiatives for members. Furthermore, our connections with provider EMR systems and the utilization of Care ConsiderationSM alerts for healthcare professionals streamline operations effectively. Our specialization is in engaging and supporting at-risk and disengaged members who frequently encounter complicated medical, behavioral, and social issues. Thanks to our distinctive capabilities, we are poised to make significant improvements in health outcomes while minimizing costs. ActiveHealth has been fully accredited by URAC in health utilization management since 1992, reflecting our dedication to excellence in this area. Moreover, our continuous efforts to innovate and adapt to the changing healthcare environment ensure that we maintain our leadership in advocating for improved health for everyone. In addition, our commitment to utilizing cutting-edge technology further enhances our ability to deliver superior healthcare solutions.

Media

Media

Integrations Supported

Availity
NaviNet Open

Integrations Supported

Availity
NaviNet Open

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/unify-platform

Company Facts

Organization Name

ActiveHealth

Company Location

United States

Company Website

www.activehealth.com/solutions/careengine-technology/

Categories and Features

Categories and Features

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