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Cohere Health

Clinical intelligence and utilization management platform for health plans and risk-bearing providers, using AI and agentic workflows to streamline prior authorization and adjacent payer-provider decisions.
Prior AuthorizationUtilization ManagementPrivate
2019
Boston, MA
Private
Series C

RevCycleAI Brief

Published research

Clinical intelligence and utilization management platform for health plans and risk-bearing providers, using AI and agentic workflows to streamline prior authorization and adjacent payer-provider decisions.

Prior authorizationUtilization managementPayer-provider workflowClinical policyPayment accuracyRisk adjustmentPopulation healthAgentic AI

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Key findings

Research highlights

Cohere's expansion into payment accuracy and risk adjustment puts it closer to a payer operating platform than a prior-auth point solution. That increases TAM but also broadens its competitive set and implementation complexity.

Raised $90M Series C led by Temasek, bringing total funding to $200M

Announced expansion beyond prior authorization into risk adjustment, population health management and payment accuracy

RevCycleAI Intelligence Scores

Methodology
45
54
46
52

Market Matrix: Emerging · Impact 48 · Capability 51

Funding & transaction history

2 tracked
2025-05-14 · Series C · $90M

AI-driven prior authorization and clinical intelligence platform for health plans and risk-bearing providers. Automates PA determinations using clinical evidence at scale.

2024-02-01 · Growth Equity · $50M

Growth equity raise to meet increased demand following CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). Preceded the $90M Series C.

Full research

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