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