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. 

Direct is the leading EHR-integrated cost transparency solution. The solution brings real-time, pharmacy benefit cost information, coverage restrictions, and alternatives into native EHR workflows. Giving providers cost information at the point-of-care enables data-driven and evidence-based decisions that help patients get the care they need at prices they can afford.

Features and Benefits:

 - Access to lower-cost alternatives increases care adherence and patient health and satisfaction

 - Select medications that do not require prior authorization

 - Reduced pharmacy/PBM/payer call-backs, prior authorization denials, and other uncompensated provider hassles

 - Uses native order workflows, is easy to implement

- Surfaces pharmacy alternatives to drive continuity of care and patient satisfaction

- Integrates patient affordability program offerings into RTPB results, showing best-cost options when insurance coverage isn't found or doesn't apply. 

Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first. We improve access to the most affordable, quality care by delivering accurate, patient-specific cost and coverage data to providers, care teams, and patients. Collaborating with premier health systems, pharmacy benefit managers, payers, and healthcare IT vendors, Arrive Health is clearing the way for better health by reducing friction in care workflows and enabling meaningful conversations about access to care. To learn more, please visit ArriveHealth.com.

• 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

Our solution is seamlessly embedded into EHR workflows, allowing for direct connections to payer and PBM source-of-truth data. EHRs typically allow for one or many connections to Real-Time Prescription Benefit solutions, but rarely have their own prescription price transparency capabilities built-in. 

Arrive Health delivers the industry's most accurate, patient-specific cost and coverage information to the EHR. Many providers do not trust the pricing information displayed in their workflow because of its obsolete or incorrect nature (see whitepaper below). However, Arrive Health delivers data that providers can rely on, taking into consideration up-to-date copay and deductible information, benefit details, and preferred locations. We also display therapeutic alternatives that are covered under the patient's insurance, options that might not require prior authorization, and options at a health system's own internal pharmacy.