Cohere Health

Cohere Health Coverage Requirements Discovery (CRD) API

HL7 Da Vinci Coverage Requirements Discovery (CRD) FHIR API that lets a provider system instantly verify whether prior authorization is required and confirm service coverage at the point of care. Documented as meeting Da Vinci Implementation Guide standards and supporting SMART on FHIR; provisioned per health plan (partner gated), with no self-serve public developer portal or published base URL.

GitHub

Documentation

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Documentation
https://www.coherehealth.com/utilization-management/api-based

Other Resources

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APIsJSON
https://raw.githubusercontent.com/api-evangelist/cohere-health/refs/heads/main/apis.yml

API entry from apis.yml

apis.yml Raw ↑ 
aid: cohere-health:cohere-health-crd-api
name: Cohere Health Coverage Requirements Discovery (CRD) API
description: HL7 Da Vinci Coverage Requirements Discovery (CRD) FHIR API that lets a provider system instantly
  verify whether prior authorization is required and confirm service coverage at the point of care. Documented
  as meeting Da Vinci Implementation Guide standards and supporting SMART on FHIR; provisioned per health
  plan (partner gated), with no self-serve public developer portal or published base URL.
humanURL: https://www.coherehealth.com/utilization-management/api-based
tags:
- Coverage Requirements Discovery
- FHIR
- Da Vinci
- Prior Authorization
properties:
- type: Documentation
  url: https://www.coherehealth.com/utilization-management/api-based