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Description
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Humata
Humata

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Categories

Solutions

Description

Product Description:
Humata streamlines prior authorization with touchless, exception-based workflows for providers and payers. Through deep EHR integration, payer connectivity, and AI-powered clinical bundling, Humata automates routine tasks, flags risks, and accelerates approvals—so teams focus only on complex cases. Key capabilities include: End-to-end automation across the PA lifecycle EHR-native integration with real-time status updates AI-driven PolicyMatch™ bundling and payer criteria alignment Omnichannel connectivity via API, eFax, and portals Post-auth monitoring to prevent denials Scalable for high-volume specialties and diverse payers Humata reduces friction, protects revenue, and ensures patients get the care they need—faster.
About Humata Health:

Prior authorization shouldn’t be the barrier between patients and care, but today it often is. 

Humata was built with one purpose: to make prior authorization work the way healthcare should - fast, fair, and transparent. 

Through intelligent automation, AI-driven policy matching, and real-time payer connectivity, Humata simplifies and accelerates every step of the prior authorization process. The result? 90% touchless authorization, human-reviewed cases resolved in under two minutes, and complete visibility from order to outcome. 

Because when prior authorization moves forward, care can move forward. 

Compatibility level

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Clients

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Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:
  • End-to-End Automation: covers every part of the PA continuum within one cohesive solution 
  • Scalable Across Specialties & Payers: built to handle high-volume, complex specialties and payer configurations
  • Medical and Pharmacy Benefit: routes and automates authorizations across both medical (Services/Procedures/infusions) and pharmacy (PBM) benefits, using shared infrastructure and connectivity modes
  • Exception-Based Workflow: automates routine tasks so teams only touch complex cases
  • EHR-Native Integration: embeds directly into EHR workflow 
  • AI-Powered PolicyMatch™: uses NLP and policy decomposition to match documentation against payer or PBM criteria, ensuring alignment with medical necessity, step-therapy, and diagnosis requirements
  • Omnichannel Payer Connectivity: supports direct API, eFax, and portal-based submissions
  • Post-Auth Monitoring: flags changes that trigger denials and ensures revenue integrity

Keywords

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Company Details

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