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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
elsai's Prior Authorization Agent streamlines the process of verifying payer requirements, validating documentation, assembling packets, managing AIR, and orchestrating workflows for revenue cycle management teams in healthcare. By doing so, it enables providers to minimize delays, avoid incomplete submissions, reduce the frequency of repeat AIR cycles, and alleviate administrative workload, all while seamlessly integrating with current EHR and RCM systems. This solution is designed with AI-driven workflows that ensure compliance, provide oversight, and maintain audit capabilities, making it a reliable choice for healthcare providers. Additionally, its implementation can lead to more efficient operations and improved patient care outcomes.
API Access
Has API
No
API Access
Has API
No
Integrations
Availity
No
NaviNet Open
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
Contact for pricing
Free Trial
Yes
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
Yes
Mac
Yes
Linux
Yes
Chromebook
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
Yes
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
Yes
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
Cohere Health
Country
United States
Website
coherehealth.com/unify-platform
Vendor Details
Company Name
elsai
Founded
2007
Country
India
Website
www.elsai.ai