Humata

Contents

AVIA Summary About EHR Integrations Use cases and differentiators Company information Media

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Humata is a solution provided by Humata Health. It belongs to multiple categories of digital health solutions including Revenue Cycle Management (RCM), Prior Authorization, and Payer Intelligence.

Humata integrates with major EMRs such as Epic, Cerner, and Meditech.

Some other resource(s) that may be helpful in learning about Humata include: Unlocking the true potential of healthcare RCM: How a digital front door makes all the difference and Top Revenue Cycle Management (RCM) Companies Report | Fall 2024

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.

CATEGORIES & SOLUTIONS

Revenue Cycle Management (RCM)

Prior Authorization

Payer Intelligence

Medical Benefit Prior Authorization Tools

Insurance Eligibility Verification & Prior Authorization

CLIENT TYPES

None provided

EHR integration

Integrations

None provided

EHR integration and relevant hardware

None provided

EMRs supported

Epic, Cerner, Meditech, Allscripts

Hardware compatibility

None provided

Solution libraries

In Epic Showroom: https://showroom.epic.com/Listing?id=330&returnTitle=3

Use cases and differentiators

Use case descriptions

None provided

Users

None provided

Differentiators vs internal options

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