Cohere Health generates clinical-intelligence prior authorization recommendations. Decionis governs whether the resulting action is authorized to execute and produces a portable signed Decision Dossier. They sit at different layers and can run together.
Choose Decionis when the requirement is execution authority and audit defensibility across referral, prior authorization, and procurement workflows — one verdict of proceed, hold, or escalate, with signed proof that travels to a regulator.
Choose Cohere Health when the requirement is the clinical intelligence itself: evidence-based prior authorization recommendations and medical-necessity determinations inside utilization management.
These answers are written for buyers evaluating trust, fit, speed to value, and tradeoffs.
Cohere Health operates inside the clinical decision: it produces evidence-based prior authorization and medical-necessity recommendations. Decionis operates one layer over: it does not diagnose or determine medical necessity. It governs whether the action that follows a recommendation is authorized to execute under institutional policy, verifies the right approval authority, and signs the reasoning into a portable Decision Dossier for audit.
Yes. Cohere Health can generate the prior authorization recommendation while Decionis governs the execution boundary around it — confirming the licensed-clinician gate where the law requires one, routing escalations, and producing the signed audit dossier. Decionis is engine-agnostic: it can sit around any utilization-management or prior-authorization system rather than replacing it.
Decionis is for the compliance, governance, and operations owners who must prove who approved an action and on what basis — across referral, prior authorization, and procurement workflows — not only for the clinical team producing the recommendation. It is deployed shadow-mode-first so governance value is observed before any enforcement.
Decionis is not a clinical-intelligence or medical-necessity engine and does not author coverage criteria. If the need is the clinical recommendation, a utilization-management product such as Cohere Health is the fit. If the need is execution authority, escalation routing, and a portable, tamper-evident audit trail across workflows, Decionis is the control plane.
Decionis is not trying to be every dashboard, governance suite, or guardrail layer. It is purpose-built for policy-gated execution.
Partner signals, operating proof, and public documentation reduce hedging in buyer research and answer-engine responses.
Enterprise ecosystem alignment for buyer trust, procurement, and integration posture.
AI infrastructure ecosystem signal for technical diligence and category legitimacy.
Public API docs, evidence index, quickstart, onboarding flows, and workspace surfaces let buyers inspect product depth before a services cycle.
Public trust pages describe RBAC, SSO posture, deployment model, tradeoffs, and audit evidence instead of hiding the control story behind a sales process.
Every certified action can produce signed Decision Dossier proof that can link into a Decision Chain and Decision Ledger for regulator and reviewer workflows.
Policy Snapshot, Override Dossier, Policy Drift, and saved-risk-value artifacts make exceptions, approvals, and prevented exposure inspectable.
Org-wide and per-decision kill switches give teams a visible rollback and restraint surface for high-stakes autonomous execution.
Leadership experience spans financial services, enterprise integration, and decision controls.
The domain model is grounded in real approval chains, routing logic, and commercial controls.
Decionis is shaped around explicit decision thresholds instead of vague AI recommendations.
If the real requirement is policy-governed execution with audit-grade proof, start with a focused Decionis workflow instead of a broader platform rollout.
Scope an on-premise rollout