Humata Health
AI-powered solution for automating prior authorizations for providers and payers.
Humata Health provides an advanced AI-driven platform specifically designed to streamline and automate the prior authorization process for both healthcare providers and payers. By leveraging artificial intelligence and generative AI, Humata ensures that prior authorizations are handled efficiently, reducing administrative burden and enhancing patient care. Their solution facilitates direct submissions from Electronic Health Records (EHR) systems, eliminates the need for portal-based interactions, and automates clinical documentation to boost approval rates. Targeted at healthcare institutions, Humata Health aims to improve operational workflows, minimize errors, and better serve patients in a timely manner.
The platform is particularly beneficial for providers who need to scale their operations and reduce time spent on manual authorization tasks. It’s also advantageous for payers looking to expedite policy reviews and ensure compliance with medical guidelines. Humata Health enables real-time transparency and automation that covers up to 90% of authorization tasks, significantly reducing the time and effort required by human staff.
Pros:
- Effective automation of prior authorizations
- Seamless integration with EHRs
- Improves healthcare operational efficiency
- Reduces administrative costs and resources
Cons:
- Requires initial setup and integration
- Dependent on AI for accuracy
- Limited to healthcare institutions
Features:
- AI Clinical Bundling - Enhances approval rates by automating clinical documentation
- Exception-Based Environment - Manages automated medical necessity and denial prevention
- Dynamic Policy Question Sets - Enables efficient policy reviews with dynamic questions
- Real-Time Transparency - Provides instant visibility into authorization processes
Integrations:
- Availity - Healthcare network integration
- EviCore - Clinical solutions for improved healthcare
- Microsoft - Technology partner for cloud and AI solutions
- Google - Provides AI and cloud infrastructure
Pricing:
- Not Disclosed
Implementation Timeline
Not Disclosed
Onboarding
Not Disclosed
Sandbox
No
API Available
Compliance
Not Disclosed
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