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Average Ratings 0 Ratings
Description
The Cohere Unify platform enhances all of our intelligent prior authorization solutions through the integration of touchless and predictive technologies, clinical content grounded in evidence, and various advanced features. By leveraging these technologies, we significantly minimize or completely remove the manual processes involved in achieving a comprehensive, fully automated prior authorization workflow. This predictive functionality allows health plans to nearly eradicate the traditional steps associated with prior authorization processes. Consequently, the system can autonomously generate tailored care plans utilizing patient and population authorization and claims data, which includes the ability to pre-approve multiple services before any requests are made. We employ evidence-based clinical criteria for specific specialties that complement our touchless and predictive technologies. Additionally, our platform features reliable single sign-on capabilities with widely used portals such as Availity and NaviNet. Furthermore, the configuration and implementation of rules have been validated to effectively manage transactions involving millions of cases, showcasing the scalability of our system. Ultimately, this innovative approach streamlines healthcare operations while enhancing efficiency and accuracy.
Description
Community corrections officers dedicate their efforts daily to minimizing recidivism, safeguarding the public, and enhancing client results. However, the absence of cohesive technology, coupled with the intricate nature of implementing and assessing evidence-based practices, often hinders officers from concentrating on their primary focus: the clients they serve. To address this issue, we developed SCRAM Nexus, the pioneering decision support software that enriches case management systems and assists officers in navigating their daily tasks while consistently applying evidence-based strategies. By facilitating dynamic supervision planning and tracking, clients are seamlessly referred to necessary treatment and monitoring services, which empowers officers to effectively manage varied caseloads and optimize their time and resources. Furthermore, Nexus continuously analyzes client data, providing tailored recommendations for incentives and sanctions that align with each client’s unique risk and needs, ultimately demonstrated to yield the most favorable outcomes. This innovative approach not only supports the officers but also enhances the overall effectiveness of community corrections as a whole.
API Access
Has API
API Access
Has API
Integrations
Availity
NaviNet Open
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Cohere Health
Country
United States
Website
coherehealth.com/unify-platform
Vendor Details
Company Name
SCRAM Systems
Founded
1997
Country
United States
Website
www.scramsystems.com/software/scram-nexus/
Product Features
Product Features
Decision Support
Application Development
Budgeting & Forecasting
Data Analysis
Decision Tree Analysis
Monte Carlo Simulation
Performance Metrics
Rules-Based Workflow
Sensitivity Analysis
Thematic Mapping
Version Control