Cohere Health's Review Assist Accelerates Clinical Reviews for Health Plans with Precision AI

Review Assist instantly surfaces actionable insights from lengthy, complex clinical documentation, improving nurse efficiency and accuracy

BOSTON, June 16, 2025 /PRNewswire/ -- Cohere Health®, the leader in clinical intelligence solutions for health plans and risk-bearing providers, today announced the launch of Review Assist, a breakthrough agentic AI solution that improves medical necessity review efficiency by up to 50% with over 99% precision. Designed to work seamlessly with health plans' existing utilization management (UM) workflows and technology stacks, Review Assist reduces review time, eases administrative burden, and improves decision accuracy by helping nurses quickly identify the most relevant clinical information.

Today, prior authorization reviews remain highly manual, requiring reviewers to sift through hundreds of pages of clinical records to identify the data for evaluating medical necessity according to clinical guideline criteria. As an evolution of its proven Review solution, Review Assist extends the focus to improve clinical productivity and nurse reviewer experience. In addition, the technology can be deployed for any use case related to review of complex medical records.

"While existing automation tools attempt to assist reviewers, they are often limited in their ability to identify, surface, and cite data from unstructured clinical documentation, particularly in high-volume, high-cost, and complex areas," said Matt Parker, chief product officer at Cohere Health. "The Review Assist copilot experience is a significant advancement in how health plans can address challenges in getting patients to care. This intelligent assistant enables faster, clinically sound decisions without disrupting existing workflows, and demonstrates the foundation for how we'll apply this agentic technology to challenge the status quo."

Review Assist leverages Cohere's clinically trained AI and fine-tuned large language models (LLMs) to analyze unstructured and structured clinical data in real time, surface relevant evidence, and present clear, actionable insights for reviewers. By providing this added layer of clinical intelligence, Review Assist enhances review accuracy and consistency, and improves nurse productivity and experience.

With an intuitive, lightweight design that works on top of a health plan's technology, Review Assist is quick to implement and easy to adopt, ultimately helping health plans drive operational efficiencies and faster access to appropriate member care–without adding complexity to or changing nurses' workflows. This agentic AI technology can enable other health plan clinical intelligence workflows downstream from prior authorization approvals.

Key capabilities and benefits of Review Assist include:

• Operates directly within existing UM workflows or can be integrated into any client case system
• Real-time extraction and citation of indication data and source evidence via clinically trained AI
• Reduced review time, error rates, and administrative burden for nursing staff
• Faster access to medically necessary care for members

Review Assist is available for health plans immediately. Learn more at https://coherehealth.com/review-assist.

About Cohere Health 
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving collaboration between physicians and health plans. Cohere works with nearly 600,000 providers and processes over 12 million prior authorization requests annually. Its AI auto-approves up to 90% of requests for millions of health plan members. Cohere has been recognized in the Gartner® Hype Cycle™ for U.S. Healthcare Payers, named a Top 5 LinkedIn™ Startup in 2023 and 2024, and is a three-time KLAS Points of Light award recipient. 

Media Contact
Kat Long
anthonyBarnum Public Relations
[email protected] 

SOURCE Cohere Health