Agentic Index

Alaffia Health vs Cohere Health (2026)

Both put agents inside health plan operations and they work opposite ends of the claim, at 9 and 7.5 of 14.

Cohere automates prior authorization before care, with up to ninety percent automation and eighty five percent real time approvals, extending across utilization management, payment integrity, appeals and claims. Alaffia works after, pairing autonomous agents with expert clinicians to forensically review claims against the full patient record across payment integrity, utilization management and appeals, with traceable citations and clinician signoff. Cohere stops the wrong care being approved; Alaffia catches the wrong bill being paid.

Choose Alaffia Health if

  • Documented coverage is broader and payment integrity after the fact is where your leakage is.
  • Clinician signoff with traceable citations is what makes a denial defensible on appeal.
  • Forensic review against the full patient record is the depth your recoveries need.

Choose Cohere Health if

  • Prior authorization volume is the operational burden and real time approval is the member promise.
  • You want one platform reaching from authorization through appeals rather than two vendors.
  • Automation rate at the front of the process is the metric you are held to.

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