Submit a Support Request Form

1. Please select the category that best describes your request: *This question is required.

2. Authorizations:
Please select the specific topic that best describes your request *This question is required.

2. Cohere Portal:
Please select the specific topic that best describes your request *This question is required.

2. Cohere Account:
Please select the specific topic that best describes your request *This question is required.

2. Pilot Support:
Please select the specific topic that best describes your request *This question is required.

2. Provider Support:
Please select the specific topic that best describes your request *This question is required.

2. Cohere Account Registration:
Please select the specific topic that best describes your request *This question is required.

2. Activation Token Expired:
Please insert your email address to receive a new activation link *This question is required. This question requires a valid email address.

Click here to register for a Cohere account.

Here is a link to the article with our Registration Guide

If you still need support, fill out the rest of the form and submit.
Otherwise, you may discontinue this survey by closing this page, or you may restart the support request form.

2. All Other Support & Feedback:
Please select the specific topic that best describes your request *This question is required.

Check the status of an authorization

Option 1:
Login to the Cohere Portal to view the authorization

You will need to be registered for a Cohere account

Option 2:
Authorization Status Check site

You do not need a Cohere account
You will need the auth tracking number (e.g. AAAA1234) or
member information (Member ID and DOB) to perform the search.

If you still need support, fill out the rest of the form and submit.

Otherwise, you may discontinue this survey by closing this page, or you may restart the support request form.

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Looking to update provider or facility information?
Cohere now allows you to do this during the authorization process! See this article for more details.

2. Please indicate the insurance payer that you submit authorizations for (if multiple, select the one most relevant to this request): *This question is required.

2. Provide the following information for the missing provider or facility:

Provider / Facility Legal Name
Tax Identification Number (TIN)
NPI Number
Address
City
State
Zip
Fax Number
Phone Number

Click here to see the current PAL list for Humana.

If you still need support, fill out the rest of the form and submit.
Otherwise, you may discontinue this survey by closing this page, or you may restart the support request form.

Click here to see the current PAL list for Geisinger.

If you still need support, fill out the rest of the form and submit.
Otherwise, you may discontinue this survey by closing this page, or you may restart the support request form.

Cohere's Support Team is unable to help with these types of requests relating to members of Medical Mutual of Ohio.

To get in contact with Medical Mutual of Ohio, please view this article.

You may close this window to discontinue this survey, or restart the support request form.

Cohere's Support Team is unable to help with these types of requests relating to members of Geisinger Health Plan.

Please use one of the following phone numbers to contact Geisinger's Support, depending on the nature of your request:

Medical Management: (800) 544-3907
- Submitting an authorization via phone or fax
- Edit or withdraw an authorization (this can also be done within the Cohere portal)
- Submitting additional clinical information for an existing request (this can be done in the Cohere portal)
- Authorization Request decisioning
- Peer to peer consults
- Questions about clinical policies
- Request that an authorization be expedited/ reviewed more quickly

Customer care team: (800) 447-4000
- Claims, appeals, and grievances

Provider Account Management: (800) 876-5357
- Member or provider not appearing in the Cohere portal

You may close this window to discontinue this survey, or restart the support request form.

2. Please enter the authorization tracking ID, if applicable.

2. Support Request Priority Level: *This question is required.

2. Support Request Subject:
Do not submit any PHI or other confidential patient information via this form. *This question is required.

2. Support Request Details:
Do not submit any PHI or other confidential patient information via this form. *This question is required.

2. Your Contact Information *This question is required.

First Name

Last Name

Email Address

Phone Number

Organization Name

Organization's Tax Identification Number (TIN)