Service & Procedures

AI-powered prior authorization technology for services and procedures

Frictionless Prior Authorization™ that spans all referral, auth/cert, and series services/procedures.

Service and Procedures

Trusted Partners & Clients

Unlock significant ROI and operational efficiency

Automate routine prior authorization steps
Reduce FTE workload/volume and improve staff productivity
Improve days-out and reduce write-offs with Post-Authorization Monitoring

End-to-end automation for high-volume and high-complexity procedures

Auth Requirements

Autoclose 20-40% of cases

Medical Necessity Policy Retrieval

Plan/specialty-specific policies via API

Clinical Bundling & Indexing

PolicyMatch Engine

Submission Support

Direct submit, eFax, Portal Assistant

Automated Statuing

Supports internal & external authorizations

Post-Auth Monitoring

Monitors changes and requests

Analytics & Audit Trail

Continuous improvement

Attestation Assist

Auto answers from EHR documentation

Service & Procedures Use Case

Initial Automated Bundle

Built from historical submissions and specialty norms — with staff review

1

Service & Procedures Use Case

Human Interaction & Learning

Humata adjusts weights automatically based on user behavior

2

Service & Procedures Use Case

Updated Dynamic Recommendations

Refined bundle tailored to orthopedic surgery and specific CPT behavior

3

Frequently Asked Questions

How does Humata connect to our EHR?

What does onboarding look like for staff?

Can Humata handle multiple payers and service lines?

What business outcomes can we expect?