Cohere Surface
Transparent AI-powered claims data mining for health plans: a self-service rules builder surfaces high-value audit targets and shows the rule, policy and evidence behind every flagged claim, with rules maintained continuously.
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What it does
- Data analysis
Sources
- Pricing
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Official documentation · 18 Oct 2026
The page publishes no price or plan.
- Description
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Official documentation · 18 Oct 2026
"Cohere Surface goes further–providing full transparency into why they happen and helping your team act on what's within your control, while continuously surfacing new opportunities."
- What it does
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Official documentation · 18 Oct 2026
Page title: "AI-powered data mining with full transparency into every finding".
- Sold within
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Read the Surface page, the Payment Integrity menu and the platform page: Surface sits beside In-House, Services and Auth Match under Payment Integrity, but no page states whether it is included with Cohere Unify or bought on top, and no price.
- Name
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Official documentation · 18 Oct 2026
"Upgrade your data mining program with Cohere Surface™".
- URL
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Official documentation · 18 Oct 2026
The product's own page under Payment Integrity, linked from the menu as "Data Mining Surface high-value audit targets".
- Deployment
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Official documentation · 18 Oct 2026
"The Unify platform uses AWS and many of its core services, including the latest cloud and database technology."
- Intended for
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Official documentation · 18 Oct 2026
Menu for health-plan payment integrity teams: "VP of Payment Integrity" role page and "Health Plans" solutions.
Also from Cohere Health
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Cohere Unify Platform
Cohere Health's platform for health plans, connecting clinical intelligence across utilization management, payment integrity, appeals, care management, quality and claims operations.
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Cohere Review Assist Application
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.
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Cohere Review Resolve Application
Automates the medical-necessity review end to end — surfacing guidelines, answering case questions through the Casey assistant and generating compliant determination letters.
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Cohere Align Application
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.
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Policy Studio Application
Turns a health plan's written medical policy into digitised, machine-readable assets that the rest of the platform decides against.
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Auth Match Application
Reconciles submitted claims against the authorisations that were granted, as a payment-integrity add-on to Cohere's utilization-management products.
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Cohere Intake Application
Cohere Intake digitizes prior authorization requests into an automated workflow.
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Cohere Decision Application
Cohere Decision makes prior authorization decisions using health plan-preferred policies.
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Cohere Validate Application
Cohere Validate uses AI to analyze claims against medical records and validate clinical evidence.
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Cohere Appeals Assist Application
Drafts structured review notes for clinical appeals.
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Cohere Capture Application
Extracts clinical evidence and formats gap closures for submission to HEDIS systems.
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Cohere Care Assist AI agent
AI agents for health-plan care managers that identify rising-risk members, summarize patient history, check discharge plans against transition-of-care checklists and draft the care plan for the care manager to review.
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