New agentic AI offering delivers full visibility into why overpayments happen–enabling faster action, greater efficiency at scale, and continuous improvement

新型代理人工智能服务提供对过度支付原因的全面可见性——实现更快的行动、更大规模的效率提升和持续改进。

BOSTON

波士顿

,

，

April 28, 2026

2026年4月28日

/PRNewswire/ --

/PRNewswire/ --

Cohere Health®

Cohere Health®

, the leader in clinical intelligence solutions for health plans, today announced the launch of

，临床智能解决方案的领导者，今天宣布推出

Cohere Surface™

Cohere Surface™

, a fundamentally new approach to data mining that replaces opaque, manual, and vendor- and IT-dependent processes with a transparent claims intelligence solution, powered by agentic AI.

，一种从根本上全新的数据挖掘方法，它用由代理型人工智能驱动的透明索赔智能解决方案，取代了不透明、手动且依赖供应商和IT部门的流程。

Health plans face significant operational hurdles in managing their data mining programs. In-house data mining operations suffer from long and laborious rule development timelines and maintenance cycles, requiring coordination between siloed functions. Service-led operations, built on contingency-based models, provide limited visibility into findings and profit from recurring errors.

健康管理计划在管理其数据挖掘项目时面临重大的运营障碍。内部数据挖掘操作受制于漫长且费力的规则开发周期和维护周期，需要协调各个孤立的职能部门。基于应急模式的服务导向型操作对发现结果的可见性有限，并从反复出现的错误中获利。

Legacy vendors aren't incentivized to improve data mining programs or surface new overpayment findings. Generic analytic tools lacking a native understanding of healthcare compound these challenges, piecing together fragmented data sources that fail to provide a complete picture of what is driving overpayments..

传统供应商没有动力去改进数据挖掘程序或发现新的超额支付问题。缺乏对医疗保健本土理解的通用分析工具加剧了这些挑战，它们拼凑碎片化的数据源，无法提供导致超额支付的完整图景。

'For too long, health plans have relied on opaque, contingency-based offerings that limit visibility into what's driving overpayments and how to prevent them. The same issues surface repeatedly, with no path to building something better,' said Lalithya Yerramilli, SVP of payment solutions at Cohere Health.

“长久以来，健康计划一直依赖于不透明的、基于应急的方案，这些方案限制了对导致超额支付的原因以及如何防止这些问题的可见性。同样的问题反复出现，却没有一条通往更好解决方案的道路，”Cohere Health的支付解决方案高级副总裁Lalithya Yerramilli说道。

'With Cohere Surface, we're delivering a transparent, efficient, and flexible solution that truly breaks the status quo–empowering health plans to understand the 'why' behind their data, own that institutional knowledge, and continuously evolve their data mining strategies.'.

“通过Cohere Surface，我们提供了一个透明、高效且灵活的解决方案，真正打破了现状——使健康计划能够理解数据背后的‘原因’，掌握这些制度性知识，并不断改进其数据挖掘策略。”

Cohere Surface gives health plans the control and intelligence they need to scale and strengthen their data mining programs. Whether deployed in-house or via services, the solution provides full visibility into rule logic and overpayment patterns, including root causes. In-house teams accelerate their timelines by building and iterating on rules in hours–without IT dependency.

Cohere Surface 为健康计划提供了扩展和加强其数据挖掘程序所需的控制和智能。无论是在内部部署还是通过服务部署，该解决方案都能全面洞察规则逻辑和超额支付模式，包括根本原因。内部团队可以在数小时内构建和迭代规则，从而加快进度，且无需依赖 IT。

Pre-configured rules meaningfully reduce set-up time, and automated monitoring ensures rules stay current as policies and other supporting documentation change. Agentic AI powers end-to-end workflows, with domain-specific AI agents that run rules continuously, process findings, and support rule maintenance with human oversight ensuring accuracy and compliance..

预先配置的规则显著减少了设置时间，自动监控确保规则随着政策和其他支持文档的变化保持最新。代理型人工智能支持端到端工作流程，特定领域的AI代理持续运行规则、处理结果，并在人工监督下支持规则维护，确保准确性和合规性。

Cohere Surface also connects both structured and unstructured data–including claims, contracts, benefits, policies, and clinical documentation–to create a comprehensive data fabric. This unified foundation gives health plans a complete, transparent view of the information needed to accurately adjudicate claims, continuously refine rules, and make proactive, data-driven decisions.

Cohere Surface 还连接了结构化和非结构化数据（包括理赔、合同、福利、政策和临床文档），以创建一个全面的数据结构。这一统一的基础为健康计划提供了完整且透明的信息视图，有助于准确裁决理赔、持续优化规则，并做出积极的、数据驱动的决策。

The result is a data mining program that doesn't just find what's wrong–it builds the foundation for a smarter, more resilient payment integrity operation over time..

结果是一个数据挖掘程序，它不仅能够发现问题所在，还能为建立更智能、更具韧性的支付完整性操作奠定基础。

Cohere Surface is available as a standalone solution and as part of Cohere Health's Payment Integrity Suite, which includes Cohere Validate™, Cohere Complete™ for PI, and Cohere Match™. For more information about Cohere Surface and how it modernizes data mining operations with advanced technology and transparency, visit .

Cohere Surface 既可作为独立解决方案使用，也是 Cohere Health 支付完整性套件的一部分，该套件包括 Cohere Validate™、Cohere Complete™ for PI 和 Cohere Match™。如需了解有关 Cohere Surface 的更多信息，以及它如何利用先进技术和透明度实现数据挖掘操作的现代化，请访问 。

https://www.coherehealth.com/payment-integrity/data-mining

https://www.coherehealth.com/payment-integrity/data-mining

. Client outcomes may vary.

. 客户结果可能有所不同。

About Cohere Health

关于Cohere Health

Cohere Health's clinical intelligence platform and agentic AI-powered solutions connect health plans' strategic goals and providers' needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in 9x ROI and 94% provider satisfaction.

Cohere Health的临床智能平台和基于代理的人工智能解决方案连接了健康计划的战略目标与供应商的需求，优化了护理的速度、成本和质量。通过一种企业级方法简化支付方与供应商在整个护理过程中的决策——包括政策、事先授权、支付准确性等——该公司提升了协作效率并减轻了负担，实现了9倍的投资回报率和94%的供应商满意度。

Cohere Health is recognized on TIME's World's Top HealthTech Companies 2025 list, on the 2025 Inc. 5000 list, and by numerous industry analysts..

Cohere Health 荣登《时代》杂志2025年全球顶级健康科技公司榜单、2025年Inc. 5000榜单，并受到众多行业分析师的认可。

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anthonyBarnum

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SOURCE Cohere Health

来源：Cohere Health

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