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Cohere Health

Application

Prior-authorisation automation for health plans, sold as Cohere Unify across utilization management and claims operations.

Total funding$200M

Valuation—

Employees—

Founded—

HeadquartersBoston, USA

StatusPrivate

Products

Selected offerings — the AI products recorded here, not the vendor's full catalogue.

• Cohere Unify Platform Sold on its own

  Cohere Health's platform for health plans, connecting clinical intelligence across utilization management, payment integrity, appeals, care management, quality and claims operations.

Inside Cohere Unify

• Cohere Review Assist Application Included with the parent

  Fine-tuned models that surface and cite the clinical indication buried in a prior-authorisation attachment, inside a health plan's existing utilization-management system.

• Cohere Review Resolve Application Included with the parent

  Automates the medical-necessity review end to end — surfacing guidelines, answering case questions through the Casey assistant and generating compliant determination letters.

• Cohere Align Application Included with the parent

  Segments providers into cohorts and tailors each one's prior-authorisation workflow and touchpoints, with behaviour analytics in place of a flat gold-carding programme.

• Policy Studio Application Included with the parent

  Turns a health plan's written medical policy into digitised, machine-readable assets that the rest of the platform decides against.

• Auth Match Application Paid add-on to the parent

  Reconciles submitted claims against the authorisations that were granted, as a payment-integrity add-on to Cohere's utilization-management products.

Similar products 50

No sourced competitor yet: no filing, vendor document or measured-market report read so far names a rival for this company, so none is asserted. The companies below are the closest by what their products do.

How this list is ranked ↗

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Closest alternatives are pairs a vendor page itself compares. Similar products are matched from what each product does; nothing in that group is asserted as a rivalry.

Sources

Total funding

Company disclosure · 14 May 2025

Own newsroom: "$90 million in Series C funding", bringing total funding to "$200 million". Cumulative figure stated by the company. No valuation has ever been disclosed, so that field is bare.

Description

Company disclosure · 17 Sep 2026

Delivery test (§1.1): Cohere Unify decides prior-authorisation requests for health plans — the company’s own site states 85% real-time approvals, so the model is on the path between a provider and an answer.

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