prior authorization
The funds will be used to expand operations and attract new partners.
Matt Koehler, VP of product innovation at Surescripts, describes a scenario, which was presented at AHIP 2025, where prior auth can be completed in 30 seconds using coordination between the physician, PBM and EHR.
The company will use the funds to expand EHR and PBM integrations and partner with digital health and other companies to expand medication access.
The aim of the platform is to collect clinical data from EHRs and accelerate the authorization process.
Dr. Traci Granston, VP of clinical strategy at Cohere Health, discusses intelligent prior authorization using AI to speed up the approval process and how it helps providers receive payment more quickly.
The health insurance company will expand its use of Cohere's prior authorization platform to include diagnostic imaging and sleep services.
HIMSS23
John Gaines, VP of marketing at Cohere Health, describes the challenges providers face in getting prior authorizations and how new CMS guidelines will speed up the process by mandating that it be done electronically.
The company plans to use the new investment to build its team and client base.
The company's funding news came alongside a new deal with Humana focused on prior authorizations for musculoskeletal treatments.
Columbus, Ohio-based PriorAuthNow, maker of an electronic prior authorization platform, has closed a $10.