# Cohere Health

**Canonical:** https://apis.io/providers/cohere-health/  
**Website:** https://www.coherehealth.com/  
**APIs profiled:** 3

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.

## Kin Score — 34.1 / 100 (thin)

Scored 2026-08-20 under rubric 0.12.0. Trend: flat (+0.0 from 34.1).

| Facet | Score |
|---|---|
| Discoverability | 83.3 |
| Contract Quality | 0.0 |
| Governance | 33.3 |
| Contract Governance | 33.3 |
| Operational Transparency | 2.6 |
| Developer Ergonomics | 28.6 |
| Commercial Clarity | 35.5 |
| Access Clarity | 35.5 |

Regulatory layer — **Health**: 76.3 (matched via tags).

## Agent readiness — 15.0 (agent-aware)

| Dimension | Value |
|---|---|
| Spec Presence | no |
| Agentic Access | no |
| Reversibility Documented | no |
| MCP Server | no |
| Auth Clarity | yes |
| Idempotency | no |
| Error Semantics | no |
| OpenAPI Examples | no |
| Rate Limit Signal | documented |
| Event Surface Described | no |
| Agent Skills | no |
| Well Known Catalog | yes |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | no |

## APIs (3)

- **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 (2)

- **Cohere Health Authentication** — oauth2/openIdConnect · 2 schemes
- **Cohere Health Domain Security** — TLSv1.3 · DMARC

## Plans (1)

- **Cohere Health Plans Pricing**

## Tags

Healthcare, United States, Prior Authorization, Utilization Management, Payer, FHIR, HL7, Da Vinci, SMART on FHIR, Interoperability

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/providers/cohere-health/). Scores are computed from the provider's own public artifacts under a published rubric.