Cohere Health website screenshot

Cohere Health

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.

Cohere Health publishes 3 APIs on the APIs.io network. Tagged areas include Healthcare, United States, Prior Authorization, Utilization Management, and Payer.

Cohere Health’s developer surface includes documentation, engineering blog, support, signup flow, authentication, and 14 more developer resources.

🌐 Visit website 📡 Source on GitHub
32.7/100 thin ▬ flat Agent 14/100 human only Full breakdown ↓
scored 2026-07-27 · rubric v0.5
3 APIs
HealthcareUnited StatesPrior AuthorizationUtilization ManagementPayerFHIRHL7Da VinciSMART on FHIRInteroperability

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-07-27 · rubric v0.5
Composite quality — 32.7/100 · thin
Contract Quality 0.0 / 25
Developer Ergonomics 5.2 / 20
Commercial Clarity 8.4 / 20
Operational Transparency 0.7 / 13
Governance 0.0 / 12
Discoverability 8.8 / 10
Agent readiness — 14/100 · human only
Machine-Readable Contract 0 / 18
Agentic Access Contract 0 / 15
MCP Server 0 / 12
Machine-Readable Auth 10 / 10
Idempotency 0 / 9
Stable Error Semantics 0 / 8
Request/Response Examples 0 / 7
Rate-Limit Signaling 0 / 7
Typed Event Surface 0 / 6
Agent Skills 0 / 5
Well-Known Catalog 4 / 4
Consent & Bot Identity 0 / 3
Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/cohere-health: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 3

Individual APIs this provider publishes, each with its own machine-readable definition.

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 ...

Cohere Health Documentation Templates and Rules (DTR) API

HL7 Da Vinci Documentation Templates and Rules (DTR) FHIR API that intelligently gathers and submits the documentation a prior authorization request requires, driven by digitize...

Cohere Health Prior Authorization Support (PAS) API

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...

Security Posture 2

Authentication, domain security, vulnerability disclosure, and trust-center signals.

Cohere Health Authentication

oauth2/openIdConnect · 2 schemes

SECURITY

Cohere Health Domain Security

TLSv1.3 · DMARC

SECURITY

Scopes 1

OAuth scopes governing access to this provider's APIs.

Cohere Health Scopes

7 scopes · authorizationCode

7 scopes

SCOPES

Resources

Get Started 2

Portal, sign-up, and the first successful call

Login
Login
 SignUp
SignUp

Documentation 1

Reference material describing how the API behaves

Documentation
Documentation

Agent Surfaces 2

MCP servers, agent skills, and machine-readable catalogs

WellKnown
WellKnown
 LLMsTxt
LLMsTxt

Design & Contract 1

Pagination, idempotency, versioning, errors, and events

Conformance
Conformance

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization
GitHubOrganization

Access & Security 5

Authentication, authorization, and security posture

DomainSecurity
DomainSecurity
 Compliance
Compliance
 Authentication
Authentication
 OAuthScopes
OAuthScopes
 DomainSecurity
DomainSecurity

Operate 2

Status, limits, changes, and where to get help

Support
Support
 HelpCenter
HelpCenter

Commercial 2

Pricing, plans, and the legal terms of use

PrivacyPolicy
PrivacyPolicy
 TermsOfService
TermsOfService

Company 3

The organization behind the API

Website
Website
 LinkedIn
LinkedIn
 Blog
Blog

Source (apis.yml)

apis.yml Raw ↑ 
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.
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: '2026-07-24T18:00:00Z'
specificationVersion: '0.19'
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: DomainSecurity
  url: security/cohere-health-domain-security.yml
- 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
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com