humata

JSON twin: https://www.healthaidb.com/software/humata.json

Company Name

Humata Health

Product URL

https://www.humatahealth.com/provider

Company URL

https://www.humatahealth.com/

Categories

Summary

Humata Health is an AI-driven platform that automates and streamlines prior authorization and utilization management for providers and payers.

Description

Humata provides an end-to-end, physician-led AI solution that automates prior authorization submissions, payer reviews, and statusing by extracting and bundling clinical documentation, mapping to medical necessity guidelines, and submitting directly via APIs to payers and EHRs to enable touchless approvals and real-time patient transparency.

Api Available

yes

Certifications

Company Founding

2023

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0757

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; demo available (no public list prices).

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2023

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Humata Health",
  "company_url": "https://www.humatahealth.com/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2023",
  "product_url": "https://www.humatahealth.com/provider",
  "categories": [
    "administrative",
    "revenue cycle",
    "prior authorization",
    "payer-facing",
    "provider-facing",
    "workflow automation",
    "clinical summarization",
    "AI/ML"
  ],
  "market_segment": [
    "enterprise",
    "provider",
    "payer"
  ],
  "links": [
    "https://www.humatahealth.com/",
    "https://www.humatahealth.com/provider",
    "https://www.humatahealth.com/payer",
    "https://www.humatahealth.com/security-and-compliance",
    "https://docs.humata.ai/guides/humata-api",
    "https://elion.health/products/humata-health",
    "https://www.fiercehealthcare.com/ai-and-machine-learning/humata-health-pulls-25-million-funding-round-prior-auth-solutions",
    "https://www.hcinnovationgroup.com/population-health-management/payers-providers/news/55090165/humata-health-gets-25m-to-expand-prior-authorization-platforms-use",
    "https://www.linkedin.com/company/humatahealth/"
  ],
  "summary": "Humata Health is an AI-driven platform that automates and streamlines prior authorization and utilization management for providers and payers.",
  "description": "Humata provides an end-to-end, physician-led AI solution that automates prior authorization submissions, payer reviews, and statusing by extracting and bundling clinical documentation, mapping to medical necessity guidelines, and submitting directly via APIs to payers and EHRs to enable touchless approvals and real-time patient transparency.",
  "target_users": [
    "providers (clinicians)",
    "revenue cycle / patient access teams",
    "payers / health plans",
    "care managers / utilization review staff",
    "health system administrators",
    "patients (status transparency)"
  ],
  "specialties": [
    "radiology / imaging",
    "medical imaging referrals",
    "ambulatory services",
    "inpatient services",
    "surgical services",
    "clinical specialties (all 'ologies')"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; demo available (no public list prices).",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS (cloud)"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "AI-powered clinical bundling",
    "Exception-based workflows (automated requirements, statusing, denial prevention)",
    "Direct submission via API from the EHR",
    "AI-powered clinical summaries (summarize unstructured documents)",
    "Dynamic policy question sets for reviews",
    "Automated medical necessity & compliance comparison to guidelines",
    "End-to-end prior authorization lifecycle (intake to decisioning to post-auth monitoring)",
    "Touchless / touch-reduced prior authorization automation",
    "Payer connectivity and decisioning",
    "Real-time transparency for patients"
  ],
  "optional_modules": [],
  "integrations": [
    "Epic (Showroom listing)",
    "Availity",
    "EviCore (Evernorth)",
    "Microsoft Azure Marketplace (availability)",
    "Google (technology partner)",
    "Evolent",
    "Carelon Health",
    "HealthHelp"
  ],
  "data_standards": [],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITRUST CSF v9.5.0 r2",
    "SOC 2 Type II"
  ],
  "certifications": [
    "HITRUST CSF v9.5.0 r2",
    "SOC 2 Type II"
  ],
  "security_features": [
    "Third-party audits (annual SOC 2 Type II)",
    "Regular internal reviews and continuous security assessments",
    "HITRUST-aligned security controls"
  ],
  "privacy_features": [],
  "data_residency": "",
  "customers": [
    "Allegheny Health Network",
    "University of Rochester Medical Center (URMC)"
  ],
  "user_reviews": [
    "Very clean UI, lots of compatible file types, really decent results.",
    "No AI hallucinations and speedy answers that are highlighted and cited.",
    "Disappointing results, not reliable.",
    "Has been a game-changer for document workflows and prior auth automation."
  ],
  "ratings": [
    "Trustpilot: 3.2 / 5 (TrustScore based on reviews of humata.ai)",
    "AppSumo: 3.84 / 5 (based on verified user reviews)",
    "Product Hunt: 4.3 / 5"
  ],
  "support_channels": [
    "email",
    "chat",
    "ticketing",
    "documentation"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2023",
  "integration_partners": [
    "Microsoft Azure Marketplace",
    "HealthHelp",
    "EHR systems (integrations with major EHRs)",
    "Payer systems / insurance integrations"
  ],
  "id": "P0757",
  "slug": "humata",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/humata.json"
  }
}