Payers

AI-powered clinical review for faster, compliant prior authorizations

Humata automates the entire prior authorization process, from intake to decisioning to post-auth monitoring. Designed for providers and payers, our solution helps healthcare organizations accelerate care, reduce denials, and recover revenue.

Payers

Built for healthcare and trusted by leaders

Streamline clinical review

Humata's Frictionless Prior Authorization™ automates clinical review and transforms prior authorization—empowering health plans to drive consistency, reduce reviewer workload, and improve compliance.

Automate clinical review

Replace manual review with AI-powered summaries, streamlining nurse workflows and accelerating decisions.

Align documentation to policy

Standardize submissions to meet payer requirements, driving faster and more consistent approvals.

Flag exceptions for human review

Automation handles routine cases, escalating only outliers for clinical attention.

Reduce bias and support compliance

Structured, auditable processes minimize decision variability and fulfill CMS-0057 requirements.

Proof in performance

96

%

96

%

First-pass approval rate

80

%

80

%

Improvement in clinical bundling efficiency

45

%

45

%

Less authorization touches


Frequently Asked Questions

How does Humata integrate with our existing UM systems and data workflows?

Can Humata support multiple lines of business and payer-specific requirements?

What measurable efficiency and compliance outcomes can we expect?