Cohere Health

aid: cohere-health
url: https://raw.githubusercontent.com/api-evangelist/cohere-health/refs/heads/main/apis.yml
name: Cohere Health
kind: company
description: Cohere Health is a United States clinical-intelligence and utilization-management company that digitizes prior
  authorization for health plans. Its Unify platform applies clinical AI and evidence-based policy to streamline authorization
  intake, review, and decisioning, and its API suite implements the HL7 Da Vinci Burden Reduction guides — Coverage Requirements
  Discovery (CRD), Documentation Templates and Rules (DTR), and Prior Authorization Support (PAS) — to help payers meet the
  CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). The FHIR R4 APIs support SMART on FHIR applications
  and are sold to and embedded with health plans rather than offered through a self-serve public developer portal; the documented
  product surface is real but the API endpoints are partner/health-plan gated. The API-based offering is branded Cohere Connect™
  and sits alongside the Cohere Unify platform (utilization management, payment integrity, appeals, care management, claims
  operations and quality), with in-workflow submission via Epic's Payer Platform. The company reports more than 15 million
  authorizations processed through the APIs and over 4,000 digitized policies.
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
tags:
- Healthcare
- United States
- Prior Authorization
- Utilization Management
- Payer
- FHIR
- HL7
- Da Vinci
- SMART on FHIR
- Interoperability
created: '2026-07-24'
modified: '2026-08-14T00:00:00Z'
specificationVersion: '0.23'
apis:
- 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
- aid: cohere-health:cohere-health-dtr-api
  name: Cohere Health Documentation Templates and Rules (DTR) API
  description: HL7 Da Vinci Documentation Templates and Rules (DTR) FHIR API that intelligently gathers and submits the documentation
    a prior authorization request requires, driven by digitized medical policy (FHIR Questionnaire plus CQL). 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:
  - Documentation Templates and Rules
  - FHIR
  - Da Vinci
  - Prior Authorization
  properties:
  - type: Documentation
    url: https://www.coherehealth.com/utilization-management/api-based
- aid: cohere-health:cohere-health-pas-api
  name: Cohere Health Prior Authorization Support (PAS) API
  description: HL7 Da Vinci Prior Authorization Support (PAS) FHIR API that submits an authorization request and returns the
    outcome, wrapping X12 278 utilization-management exchange in a FHIR interface for CMS-0057-F compliance. 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:
  - Prior Authorization Support
  - FHIR
  - Da Vinci
  - Prior Authorization
  properties:
  - type: Documentation
    url: https://www.coherehealth.com/utilization-management/api-based
common:
- type: Website
  url: https://www.coherehealth.com/
- type: Documentation
  url: https://www.coherehealth.com/utilization-management/api-based
- type: Login
  url: https://login.coherehealth.com/
- type: GitHubOrganization
  url: https://github.com/coherehealth
- type: LinkedIn
  url: https://www.linkedin.com/company/cohere-health
- type: Blog
  url: https://www.coherehealth.com/blog
- type: Support
  url: https://www.coherehealth.com/connect
- type: HelpCenter
  url: https://help.coherehealth.com/cohere-health-learning-center/en
- type: PrivacyPolicy
  url: https://www.coherehealth.com/privacy-policy
- type: TermsOfService
  url: https://www.coherehealth.com/terms-and-conditions
- type: SignUp
  url: https://next.coherehealth.com/organization_onboarding
- type: Compliance
  url: https://www.coherehealth.com/news/cohere-health-earns-hitrust-r2-certification
- type: Authentication
  url: authentication/cohere-health-authentication.yml
- type: OAuthScopes
  url: scopes/cohere-health-scopes.yml
- type: WellKnown
  url: well-known/cohere-health-well-known.yml
- type: Conformance
  url: conformance/cohere-health-conformance.yml
- type: DomainSecurity
  url: security/cohere-health-domain-security.yml
- type: LLMsTxt
  url: llms/cohere-health-llms.txt
- type: Vocabulary
  name: Cohere Health Glossary
  url: vocabulary/cohere-health-glossary.yml
- type: Packages
  url: packages/cohere-health-packages.yml
- type: Plans
  url: plans/cohere-health-plans-pricing.yml
- type: RateLimits
  url: rate-limits/cohere-health-rate-limits.yml
- type: Glossary
  url: https://www.coherehealth.com/glossary
- type: Press
  url: https://www.coherehealth.com/press
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
x-enrichment:
  date: '2026-08-14'
  status: enriched
  artifacts_added: 6
  pass: local-v1
x-coverage:
  state: gated
  reason: customer-only-docs
  detail: The Cohere Connect™ platform API host discovered in the provider-portal bundle, core-platform.coherehealth.com,
    answers every anonymous request — including the CDS Hooks discovery endpoint /cds-services and /fhir/metadata, which their
    specs expect to be public — with a JSON 403 "Not Authorized", and the CRD/DTR/PAS FHIR reference is provisioned per health-plan
    tenant with no public developer portal anywhere in the 521-URL sitemap.
  evidence:
  - url: https://core-platform.coherehealth.com/cds-services
    status: 403
  - url: https://core-platform.coherehealth.com/fhir/metadata
    status: 403
  - url: https://core-platform.coherehealth.com/openapi.json
    status: 403
  - url: https://www.coherehealth.com/openapi.json
    status: 404
  checked: '2026-08-14'