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Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

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 No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Availity Yes 
NaviNet Open Yes 

Integrations

Availity No 
NaviNet Open No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) No 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

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 No 
Budgeting & Forecasting No 
Data Analysis No 
Decision Tree Analysis No 
Monte Carlo Simulation No 
Performance Metrics No 
Rules-Based Workflow No 
Sensitivity Analysis No 
Thematic Mapping No 
Version Control No 

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