Unify Decisioning

JSON twin: https://www.healthaidb.com/software/unify-decisioning.json

Company Name

Cohere Health

Product URL

https://coherehealth.com/unify/decisioning/

Company URL

https://coherehealth.com

Categories

• clinical Care
• administrative Operations
• patient Facing
• diagnostic Support
• Clinical
• Administrative
• Diagnostic

Summary

Unify Decisioning by Cohere Health is an AI-driven platform that automates prior authorization processes, reducing decision times by 70% and administrative costs by up to 40%.

Description

Unify Decisioning automates prior authorization clinical reviews and accelerates manual nurse review, leading to faster decisions and improved patient care. It integrates seamlessly with provider and health plan systems, creating touchless authorization experiences. The platform has been proven to drive a high rate of immediate approvals, reducing turnaround times by 70% and administrative costs by 30-40%.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001

Company Founding

2019

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• CMS-0057-F
• SOC 2 Type II
• HITRUST
• NCQA
• URAC

Customers

Data Residency

US/EU regions

Data Standards

• FHIR
• Da Vinci Project (FHIR implementation)
• CMS-0057-F
• HL7
• SMART on FHIR

Deployment Model

• SaaS
• API-Based
• In-house
• Delegated
• Hybrid

Features

• AI-driven prior authorization automation
• Clinical intelligence engine with evidence-based models
• Policy and rules automation (NCDs, LCDs, custom guidelines)
• API-based prior authorization supporting CMS-0057-F
• Provider collaboration and workflow tools
• Real-time analytics and reporting
• Automated approval decisions
• Peer-to-peer physician review support
• Provider portal for authorization status checks
• Modular utilization management workflows (specialty-specific)
• Implementation services and change management

Id

SW2883

Integration Partners

Integrations

• MCG Health
• Hiver
• AVIA
• Health plan case systems
• EHRs
• Provider EMRs
• Health plan authorization portals

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Cohere Connect™ for prior authorization compliance
• Cohere Unify™ Intake for digitizing prior authorization requests
• Cohere Unify™ Transformation for advanced clinical intelligence

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Business Associate Agreement (BAA) available
• Data anonymization
• Data minimization
• Consent management

Product Code

SW2883

Product Name

Unify Decisioning

Ratings

Regions Available

• United States

Related Urls

Release Year

Security Features

• Encryption at rest (AES-256)
• Encryption in transit (TLS 1.2+)
• Role-Based Access Control (RBAC)
• Multi-Factor Authentication (MFA)
• Audit logging
• Web Application Firewall (WAF)
• Virtual Private Cloud (VPC) isolation
• Elastic Load Balancers
• Fargate and ECS for secure development

Specialties

• General Medicine
• Surgical Procedures
• Diagnostic Imaging
• Laboratory Services
• Rehabilitation Services
• Mental Health Services
• Pediatric Care
• Geriatrics
• Cardiology
• Orthopedics
• Neurology
• Oncology
• Pulmonology
• Gastroenterology
• Endocrinology
• Dermatology
• Urology
• Obstetrics And Gynecology
• Rheumatology
• Infectious Diseases

Support Channels

System Requirements

Target Users

• clinicians
• nurses
• admins
• payers

Training Options

Type

product

User Reviews

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Unify Decisioning",
  "company_name": "Cohere Health",
  "product_url": "https://coherehealth.com/unify/decisioning/",
  "company_url": "https://coherehealth.com",
  "related_urls": [],
  "product_code": "SW2883",
  "summary": "Unify Decisioning by Cohere Health is an AI-driven platform that automates prior authorization processes, reducing decision times by 70% and administrative costs by up to 40%.",
  "description": "Unify Decisioning automates prior authorization clinical reviews and accelerates manual nurse review, leading to faster decisions and improved patient care. It integrates seamlessly with provider and health plan systems, creating touchless authorization experiences. The platform has been proven to drive a high rate of immediate approvals, reducing turnaround times by 70% and administrative costs by 30-40%.",
  "categories": [
    "clinical Care",
    "administrative Operations",
    "patient Facing",
    "diagnostic Support",
    "Clinical",
    "Administrative",
    "Patient-facing",
    "Diagnostic"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "admins",
    "payers"
  ],
  "specialties": [
    "General Medicine",
    "Surgical Procedures",
    "Diagnostic Imaging",
    "Laboratory Services",
    "Rehabilitation Services",
    "Mental Health Services",
    "Pediatric Care",
    "Geriatrics",
    "Cardiology",
    "Orthopedics",
    "Neurology",
    "Oncology",
    "Pulmonology",
    "Gastroenterology",
    "Endocrinology",
    "Dermatology",
    "Urology",
    "Obstetrics And Gynecology",
    "Rheumatology",
    "Infectious Diseases"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2019",
  "deployment_model": [
    "SaaS",
    "API-Based",
    "In-house",
    "Delegated",
    "Hybrid"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "AI-driven prior authorization automation",
    "Clinical intelligence engine with evidence-based models",
    "Policy and rules automation (NCDs, LCDs, custom guidelines)",
    "API-based prior authorization supporting CMS-0057-F",
    "Provider collaboration and workflow tools",
    "Real-time analytics and reporting",
    "Automated approval decisions",
    "Peer-to-peer physician review support",
    "Provider portal for authorization status checks",
    "Modular utilization management workflows (specialty-specific)",
    "Implementation services and change management"
  ],
  "optional_modules": [
    "Cohere Connect™ for prior authorization compliance",
    "Cohere Unify™ Intake for digitizing prior authorization requests",
    "Cohere Unify™ Transformation for advanced clinical intelligence"
  ],
  "integrations": [
    "MCG Health",
    "Hiver",
    "AVIA",
    "Health plan case systems",
    "EHRs",
    "Provider EMRs",
    "Health plan authorization portals"
  ],
  "data_standards": [
    "FHIR",
    "Da Vinci Project (FHIR implementation)",
    "CMS-0057-F",
    "HL7",
    "SMART on FHIR"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "CMS-0057-F",
    "SOC 2 Type II",
    "HITRUST",
    "NCQA",
    "URAC"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption at rest (AES-256)",
    "Encryption in transit (TLS 1.2+)",
    "Role-Based Access Control (RBAC)",
    "Multi-Factor Authentication (MFA)",
    "Audit logging",
    "Web Application Firewall (WAF)",
    "Virtual Private Cloud (VPC) isolation",
    "Elastic Load Balancers",
    "Fargate and ECS for secure development"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "Data anonymization",
    "Data minimization",
    "Consent management"
  ],
  "data_residency": "US/EU regions",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "",
  "integration_partners": [],
  "id": "SW2883",
  "slug": "unify-decisioning",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/unify-decisioning.json"
  }
}