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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
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. 

Product Description:

Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large sized healthcare settings, specialties, and payers from one platform and portal.

All built just for you.

About Valer:

Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large sized healthcare settings, specialties, and payers from one platform and portal.

All built just for you.

Valer's automation technology enables our clients to reduce labor cost, claim denials from avoidable prior authorization errors, and writeoffs stemming from denials. With prior authorization approvals further in advance of scheduled treatments and procedures, Valer enables fewer rescheduled and abandoned appointments. Patients are happier, providers are happier, and staff are happier.

Compatibility level

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Clients

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Product Capabilities

Valer can be configured to identify highly targeted information regarding authorization requirements and/or services which are "no auth required." Valer has the ability to work with select payers to provide authorization requirements, "no auth required" alerts, and authorization submissions via real-time APIs (application programming interfaces) where available.

Valer comprehensively automates completion and submission of prior authorizations for 1,000+ unique payer fax forms and 75+ payer web portals.

Valer's form library maintains and updates over 1,000+ payer authorization fax forms across all service lines (diagnostic imaging, surgeries, procedures, chemo/infusion, medications, notice of admissions, DMEs, sleep, Worker's Comp). Valer's proprietary technology can add any new fax form for users typically within 24 hours to support authorizations and referrals.

Valer provides the ability for users to easily attach any relevant clinical documentation to a prior authorization for submissions. Valer supports various file formats needed for submission. Valer also captures documentation from payers regarding approval tracking codes, expiration dates, units of service, CPTs approved, which can be pushed directly back into EHRs/practice management systems to avoid manual data entry. Valer also has Epic's x275 clinical document exchange functionality live in production to directly exchange information from Epic to Valer and back.

Valer comprehensively SUBMITS prior authorizations across both fax and web portal modalities across all-payers and all service types. Valer provides ONE interface, deeply integrated with EHR workflows to automate both today's manual authorization submission and verification workflows.

Valer provides automated authorization status verification across 75+ payer web portals. Authorization information (tracking numbers, units, expiration dates, sites of service, CPT/family of codes approved can be automatically pushed back into EHRs in an automated process further eliminating the need for manual data entry.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

Valer provides health systems, hospitals, and ambulatory clinics with one place to streamline, automate, and manage today's manual prior authorization workflows. Valer saves time, cost, and reduces patient access denials and avoidable write-offs.

Pediatric use cases:

Pediatric health systems and clinics utilize Valer to reduce the time and cost involved with today's manual prior authorization and referral workflows.

Users:

patient access teams, ambulatory clinic authorization teams,  admitting/scheduling teams, revenue cycle teams

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Community based organizations, ADT, Access +/or revenue cycle, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Allscripts, NextGen, athena, GE, Athenahealth, Other

Hardware Compatibility:

Desktop

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
Differentiators vs EHR Functionality:
  • Single platform and payer portal consolidates payer management
  • Comprehensively submit, verify, manage prior authorizations and referrals
  • All payers and service lines
  • Continuous real-time payer updates
  • 2-way data integration with EHR systems
  • Real-time workflow visibility and reporting
  • Integrates with any EHR or billing system for seamless workflow
  • Clients using Epic, Cerner, Veradigm, Athenahealth, NextGen and more
Differentiators vs Competitors:
  • Valer focuses exclusively on automating submissions, status-checking, and verification with all payers- national, regional, local
  • Valer supports every service type, specialty, and care setting except formulary medications and dentistry
  • Valer integrated bi-directionally with any EHR or system of record

Keywords

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Downloads

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OHSU Case Study.pdf

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Company Details

Founded in 2010

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