Announcements

Humata Health, a leader in delivering AI-powered touchless prior authorizations, has successfully integrated EviCore by Evernorth’s intelliPath technology into its platform to further streamline and simplify the prior authorization process for patients and clinicians. Through this integration, Humata’s expansive network of provider group clients will benefit from EviCore’s broad payer service model to further automate utilization management.

“This effort represents another significant step toward a world where nearly every prior authorization is touchless, and where patients get access to care quickly and approval within seconds after their doctor orders a procedure,” said Jeremy Friese, MD, Founder and CEO of Humata Health. "Every patient deserves this, and we’ve already made it possible at some hospitals. One of the biggest hurdles to scaling this capability is making sure that systems at every payer can talk to systems at every hospital, and we’re building the network to make it happen. Our partnership with EviCore is a massive leap forward.”

This collaboration combines Humata’s automated electronic medical record (EMR) workflows for providers with EviCore’s intelliPath solution that proactively pulls information required for prior authorization approvals from EMRs. The integrated technologies can verify prior authorization requirements, seamlessly document required information, proactively track submission status and continuously monitor approved authorizations for potential changes that could impact coverage. The result creates touchless prior authorization approval within seconds.

“EviCore is committed to enhancing the experience and workflow for providers while administering essential utilization management for health plans,” said Celeste Player, PharmD, president of EviCore by Evernorth. “Our advanced intelliPath technology complements Humata’s seamless prior authorization submission process, making it nearly invisible for providers and health plans that partner with EviCore.”

Humata’s technology is already in use at hundreds of hospitals where its deep EMR integrations enable streamlined provider workflows. Humata generates comprehensive clinical packages using proprietary and ethical AI and automation that can predict what information payers will require for fast review and first-pass approval.

EviCore provides utilization management services for more than 100 health plans that cover more than 100 million lives. This includes prior authorization automation and medical necessity reviews for various healthcare services, ensuring they align with evidence-based guidelines. EviCore’s intelliPath technology assures seamless electronic medical record (EMR) integration, immediate responses and accelerated approvals to prior authorization requests—which can significantly improve the patient and provider experience.

About Humata Health

Humata Health is the leader in delivering AI-powered touchless prior authorizations. With the industry’s largest ecosystem of integrations and proprietary technology that gathers the right clinical information required for fast approval, the Humata platform is the only truly end-to-end prior authorization solution for all services and procedures. Humata Health is aphysician-led company backed by a syndicate of strategic healthcare investors including Blue Venture Fund, LRVHealth, Optum Ventures, .406 Ventures, and Highmark Ventures. For more information, visit www.humatahealth.com.