Cohere Health
AI platform that digitizes and auto-adjudicates prior authorization requests against medical guidelines, processing 12M+ requests annually for 600,000+ providers; expanded into payment integrity via the 2025 ZignaAI acquisition.
This is where the depth lives — everything below is evidence-graded
How the product is positioned
AI platform that digitizes and auto-adjudicates prior authorization requests against medical guidelines, processing 12M+ requests annually for 600,000+ providers; expanded into payment integrity via t
Our summary of the vendor’s positioning — verbatim claim not yet recordedWhat we found
Level 1 · assistive
Seeded at the rubric default. No independent evidence of end-to-end task completion has been reviewed yet, so the lowest grade applies until it is.
Any human checkpoint here is a product setting, not a regulatory requirement — confirm how it is configured for your deployment.
Graded 2026-08-01 · re-check 2026-11-01
Procurement detail
- Deployment
- saasvendor documentation
- Compliance
- HIPAA · SOC 2 Type IIreport dates not disclosed — request before signing
- Integrations
- Payer core admin systems claim unverifiedprovider EHRs via Connect APIs claim unverified
- Pricing
- usageNot publicly listed.
- Human checkpoint
- Requiredproduct setting
- Named customers
- Health plans covering 600,000+ providersfrom cited sources
Will they still be here?
- Funding
- $90M Series C led by Temasek; ~$200M total raised
- Founded
- 2019
- HQ
- Boston, USA
Sources
Logo retrieved 2026-08-01from the vendor’s own site · trademark of Cohere Health, Inc.
- medcitynews.comIndependent · retrieved 2026-08-01
- fiercehealthcare.comIndependent · retrieved 2026-08-01
Where it’s weak
Dependent on payer-side adoption and contract cycles rather than direct provider sales.
Corrections
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