RxCheckUp

RxCheckUp vs Cohere Health

Cohere Health is a payer-side ai prior authorization platform. Cohere helps payers approve or deny faster. RxCheckUp helps the provider build a clinical case that survives whichever AI is reviewing it on the other side.

Feature-by-Feature Comparison

FeatureRxCheckUpCohere Health
AudiencePrescribers / clinicsPayers / health plans
AI-generated Letter of Medical Necessity
Payer-specific criteria matching174 payers built inPer-payer deployment
Clinical evidence citations
Appeal letter drafting
Real-time PA decisioning
Available to any prescriberOnly via contracted payers
Pricing modelFlat subscriptionEnterprise contracts
Time to draft clinical justification2 minutesN/A — not a drafting tool
What you getSignable LMN with evidencePayer decision engine

Key Differentiators

1Different sides of the table

Cohere Health automates how payers evaluate prior authorizations. RxCheckUp gives the prescribing clinician the tool to draft a Letter of Medical Necessity that meets payer criteria — the input that decision engines like Cohere’s actually grade.

2Built for any prescriber

Cohere is reached only when you’re submitting a PA to a payer that has deployed it. RxCheckUp works for any drug, any payer, any practice — today, with no payer contract required.

3Strong arguments still win

Whether the reviewer is human or AI, a well-cited LMN that addresses the exact policy criteria gets approved faster.

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