Physical Therapy Prior Authorization Follow-Up Automation Agent with Cohere

Leverage Cohere’s real-time data with automation that delivers instant therapy prior authorization updates to your EMR—without manual follow-ups.

AUTOMATION AGENT

Automate Cohere therapy prior authorization status follow-ups with ease

Managing prior authorizations for physical and occupational therapy can be complex and time-consuming. Since many payers require the ordering physician to initiate an authorization, providers often need to follow up on prior authorization requests initiated by referring physicians rather than starting a new one. Additionally, healthcare staff may lack the bandwidth to continuously track authorization status updates—leading to delays, increased administrative workload, and potential disruptions in patient care.

Cohere plays a pivotal role in streamlining prior authorization by enhancing collaboration between payers and providers, optimizing approval workflows, and reducing unnecessary delays. However, providers may still experience manual follow-ups and administrative burden, requiring additional time and resources to ensure timely approvals.

We enhance Cohere's capabilities by leveraging our prior authorization follow-up automation agent, eliminating the need for manual status checks on already initiated prior authorizations. Our agent automatically tracks prior authorization approvals and updates authorization statuses directly within your EMR.

Available as part of our Patient Access Plus platform’s prior authorization module or as a standalone automation agent in our Revenue Cycle Agent Platform, this agent provides the flexibility to automate prior authorization follow-ups in a way that aligns with your existing workflows—ensuring faster approvals and enhanced operational efficiency.

HOW WE ENHANCE YOUR COHERE HEALTH PRIOR AUTH WORKFLOW

Delivering therapy authorization updates to your EMR

Therapy providers no longer need to manually check Cohere portals or track approvals through phone calls. Our automation agent retrieves the latest prior authorization status and seamlessly updates your EHR, ensuring real-time visibility into approvals.

  • Delivers prior auth updates from Cohere directly to your EHR
  • Provides instant visibility into approval, denial, or pending statuses
  • Reduces administrative workload by automating follow-ups and tracking
  • Scales to handle high volumes of prior auth requests efficiently

While Cohere streamlines prior authorization workflows,  not all payers are included. For our Patient Access Plus platform clients, our other automation agents help bridge these gaps by integrating with additional clearinghouses and benefit managers such as Availity, Evicore, and Carelon, ensuring comprehensive prior authorization follow-up across most payers.

HOW IT WORKS

A fully automated solution for tracking therapy authorization status

Once a therapy prior authorization request is submitted, our automation agent takes over, ensuring timely updates and reducing manual effort.

EMR triggers automation agent

When an authorization request status changes (e.g., Pending Review), the automation agent is automatically assigned the follow-up task.

Authorization status retrieval

The automation agent retrieves the latest status (Approved, Denied, or Pending) and approval or denial details directly from Cohere.

System updated with status

Your EMR is automatically updated with the latest authorization status, details, and attachment letters, ensuring real-time visibility for your staff.

Ongoing follow-ups

For unresolved cases, the automation agent re-engages with Cohere at set intervals (e.g., every 6 hours) until a final decision is reached.

With continuous tracking and automated updates, your team can rely on therapy authorization status updates without leaving your system.

Looking To Save Time With Automation

Ready to automate physical therapy prior authorization status checks with Cohere?

With our Cohere automation agent integration, you can eliminate manual follow-ups for physical therapy and occupational therapy authorizations. Get updates sent directly to your EMR, reducing administrative workload and ensuring accurate information. Schedule a demo to learn more.