Revenue Cycle / Coding / Prior Auth · Assurance Record
Cohere Unify
Cohere Health · Utilization management · SaaS
Decision summary
- Suitable for
- Health plans, at-risk provider organizations
- Documentary gate
- Failed
- Scenario match
- Matches this scenario — Prior-auth automation under CMS-0057-F
- Comparability
- Not yet comparable in this scenario
- Decision readiness
- HISTORICAL — Research only
- Documented evidence
- 0 of 1 evidence claims independently confirmed · confidence Low
- Critical unknowns
- scaled production deployment · documented economic outcomes
- Last independent review
- not yet measured
regulatory filingCMS-0057-F final rule (published Feb 8, 2024) establishes the Jan 1, 2027 payer compliance date for electronic prior-authorization APIs — th…2024-02-08
Exact claim. CMS-0057-F final rule (published Feb 8, 2024) establishes the Jan 1, 2027 payer compliance date for electronic prior-authorization APIs — the regulatory driver for Cohere's e-prior-auth platform.
- Source
- federalregister.gov
- Type
- regulatory filing
- Published
- 2024-02-08
- Retrieved
- 2026-08-27
- Verification
- unverified
- Confidence
- not stated
- Reviewer
- healthit-gate-v1
- Claim version
- v1
- Supports
- trust_governance
- Score contribution
- Feeds trust governance
A regulatory listing confirms authorization status — not real-world effectiveness or economics.
Open federalregister.govVerified provider experience is not yet publishable. Fewer than five independent provider organizations have contributed eligible reviews. Reviewer mode is off. Experience never changes documentary scoring, freshness, or rank.
Buyer lenses — evidence-backed bands (not a 0–100 rank)
Deployment, integration, data handling
- Integration maturity
- announced — Announced or documented integration; marketplace listing not confirmed.
- EHR path
- Epic, Oracle Health, fax/EMR digital intake
- FHIR / API
- Documented
- SSO
- Supported
- PHI / BAA
- BAA; clinical data under UM agreements · BAA available
- Security attestations
- SOC 2 Type II, HITRUST (claimed)
- FDA status
- UNKNOWN
Why unknown
Why. No FDA listing found for this product's functions in the tracked category.
What would close it. An FDA 510(k)/De Novo listing, or a clear statement that no regulated function is claimed.
- Pricing
- Not publicly listed
Technical provenance
snap_8a8a4c9bb810aee3 · 2026-08-27T04:05Z · build 6a9fe1b
Forecast calibration is not in the public snapshot — shown as UNKNOWN rather than read from SQLite.
Known limitations
- Deployment traction is UNKNOWN.
Why unknown
Why. No reliable source on file. The platform does not infer values from weak sources.
What would close it. A primary source or independent verification.
- Economic value evidence is UNKNOWN.
Why unknown
Why. No independently verifiable ROI claim (peer-reviewed, audited case, or independent benchmark) is on file.
What would close it. An audited implementation report or peer-reviewed study with payback/throughput numbers.