How does Humata integrate with pharmacy, infusion, and billing systems—and handle medical vs. pharmacy benefit routing?

Humata Health utilizes the industry's largest ecosystem of EHR integrations to unify fragmented approval workflows. Our proprietary technology automatically identifies the appropriate benefit path—medical or pharmacy—and routes the authorization request with the specific clinical data required by the payer. By automating EHR write-backs, we ensure pharmacy, infusion, and billing teams maintain real-time synchronization, eliminating manual friction from order to administration.

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

Yes. The Humata platform is engineered to navigate the complexities of diverse lines of business, including Commercial, Medicare Advantage, and Medicaid. Our AI-powered engine verifies every submission against a robust database of payer-specific clinical policies. This ensures that documentation—such as auto-bundled clinical data and attestation forms—is tailored to meet the exact requirements of each payer before submission.

What measurable efficiency and compliance outcomes can we expect?

Organizations utilizing Humata Health's end-to-end prior authorization solution typically achieve a 96% first-pass approval rate. Our automation technology delivers an 80% improvement in clinical bundling efficiency and a 45% reduction in manual authorization touches. These advancements allow healthcare leaders to accelerate speed-to-care, significantly reduce denials, and recover lost revenue through optimized compliance and operational streamlined processes.