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Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
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:
  • Cohere Unify™ Intake: Digitizing and improving intake across fax, EMR, and portal
  • Cohere Unify™ Decisioning: Prior authorization check, completeness scan, automated clinical review, and pended review pre-processing
  • Cohere Unify™ Review: Queue management, AI-assisted manual review, and letter generation

About Cohere Health:

Cohere Health is a clinical intelligence company that provides intelligent prior authorization as a springboard to better quality outcomes by aligning physicians and health plans on evidence-based care paths for the patient's entire care journey. Cohere's intelligent prior authorization solutions reduce administrative expenses while improving patient outcomes. The company is a winner of the TripleTree iAward and has been named to both Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists. Cohere's investors include Flare Capital Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude Capital.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
  1. Submit Prior Authorization
  2. Check Prior Authorization status
Pediatric use cases:

None provided

Users:
  1. Physicians
  2. Administrative staff
  3. Billing staff
  4. Nurse practitioner

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts

Hardware Compatibility:

None provided

Integrations:

Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic

Hardware Compatibility:

None provided

Client Types

None provided

Awards

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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:

None provided

Differentiators vs Competitors:

The only UM platform designed to support in-house operations, or fully-delegated programs.

Whether a health plan is seeking to innovate their in-house UM operations or outsource utilizing a vendor partner for key service lines, Cohere is uniquely positioned to partner with them to build a path from digital transformation to true care collaboration.

  1. 25-40% reduction of administrative costs
  2. 65 NPS score among providers
  3. 70% faster access to patient care
  4. 15%+ medical cost savings beyond incumbent programs

Keywords

Images

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Video: Cohere Unify

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Cohere Health Overview

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Company Details

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