Cohere Health revolutionizes payment integrity by leveraging transparent AI-driven solutions that transform traditional, opaque processes. Their advanced platform converts unstructured medical records into precise, structured data, enabling health plans to internalize complex clinical and coding validations with increased efficiency. By integrating Utilization Management data, Cohere facilitates preemptive claim risk scoring and audits, shifting focus from post-payment recovery to proactive prevention. Their flexible engagement models support scaling in-house operations or delegating to a modern, AI-native provider, all while ensuring full transparency and reducing provider friction. With proven results such as significantly improved auditor efficiency, enhanced hit rates, and substantial cost savings per claim, Cohere empowers organizations to streamline workflows, eliminate data silos, and achieve superior accuracy and control throughout the payment continuum.