Cohere Health's Complete product helps health plans transform their utilization management (UM) processes by leveraging AI and clinical intelligence. It provides end-to-end, fully delegated UM operations for select specialties, improving care quality and outcomes while reducing unnecessary utilization.

Key Features

AI-Powered Automation Automate utilization management decisions using AI and clinical intelligence.

• Reduces manual review
• Accelerates decision-making

Comprehensive Workflow Digitize all UM requests into a single automated workflow.

• Unified process
• Streamlined operations

Clinical Intelligence Apply evidence-based clinical intelligence to improve utilization management.

• Specialty-specific programs
• Enhanced patient outcomes

Benefits

Increased Efficiency Streamline UM processes to reduce administrative burden.

• Faster approvals
• Lower operational costs

Improved Patient Outcomes Leverage clinical intelligence to ensure better care decisions.

• Higher quality care
• Better patient satisfaction