Humata Health

Humata Health

AI-driven platform automates healthcare prior authorizations

Overview

Humata Health automates the prior authorization process between healthcare providers and insurance companies using an artificial intelligence platform. The software integrates with electronic health records to automatically identify required clinical documents, bundle them for specific health plans, and submit requests with a single click. Unlike traditional manual methods, this system achieves "touchless" authorizations by monitoring status updates and only requiring human intervention if a request is denied. The company's goal is to eliminate administrative friction and speed up patient care by creating a seamless, automated connection between doctors and payers.

About Humata Health

Simplify's Rating
Why Humata Health is rated
C+
Rated C on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Enterprise Software

AI & Machine Learning

Healthcare

Company Size

51-200

Company Stage

Early VC

Total Funding

$25M

Headquarters

Columbus, Ohio

Founded

2017

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Simplify's Take

What believers are saying

  • R1 said Humata strengthens Phare OS and accelerates revenue-cycle automation.
  • Humata’s portal claims 96% first-pass approvals and 45% fewer manual touches.
  • Elizabeth Fowler’s board role gives regulatory credibility with CMS and payers.

What critics are saying

  • JobsOhio’s fraudulent-conveyance lawsuit still shadows Humata from Olive’s 2023 breakup.
  • R1’s acquisition closes by Q3 2026, ending Humata’s independence and startup upside.
  • Payers can replicate authorization workflows inside incumbents like Epic, Waystar, and R1.

What makes Humata Health unique

  • R1 agreed to acquire Humata on August 18, 2026, validating Phare OS integration.
  • Humata’s June 25, 2026 portal targets independent practices without EHR integration.
  • The company joined CMS’s Electronic Prior Authorization Acceleration Initiative before 2027 mandates.

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Funding

Total Funding

$25M

Above

Industry Average

Funded Over

1 Rounds

Early VC funding comparison data is currently unavailable. We're working to provide this information soon!
Early VC Funding Comparison
Coming Soon

Benefits

Unlimited Paid Time Off

401(k) Retirement Plan

401(k) Company Match

Remote Work Options

Stock Options

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

4%

2 year growth

13%
HealthTech HotSpot
Aug 19th, 2026
Sterlington advises Humata Health Founder and CEO on acquisition by R1.

Sterlington advises Humata Health Founder and CEO on acquisition by R1. NEW YORK-(BUSINESS WIRE)-Sterlington is advising Jeremy Friese, MD, Founder and Chief Executive Officer of Humata Health (Humata) in connection with the company's acquisition by R1 RCM Inc., a leader in healthcare revenue management. Sterlington is advising the CEO on all aspects of the transaction. Humata is a leading health tech company providing AI-powered, touchless prior authorization solutions for health systems, payers, and patients. Its mission is to make prior authorization easy and seamless for providers, payers, and patients. The Sterlington team was led by Executive Compensation partner Jeremy Goldstein, Corporate partner Christopher Harrison, Executive Compensation partner Audry Casusol, and Corporate partner Michael Gilligan. This transaction marks Sterlington's latest healthcare-sector engagement, following Designs for Health, Florida Cancer Specialists & Research Institute, and Avanos Medical. About Sterlington Sterlington PLLC is a full-service law firm focusing on complex corporate, litigation, executive compensation, and private wealth matters. As a firm, HealthTech HotSpot LLC focus on the economic as well as the legal aspects of its matters. Among other strengths, Sterlington is the ultimate law firm for founders, senior executives, and UHNWIs as well as their related businesses.

Yahoo Finance
Aug 18th, 2026
R1 to acquire Humata Health, adding AI-powered prior authorisation automation to Phare OS

R1 RCM has entered into an agreement to acquire Humata Health, a leader in AI-powered prior authorisation automation. The acquisition will enhance R1's Phare Operating System, expanding its AI capabilities to help healthcare providers reduce administrative complexity and improve financial outcomes. Prior authorisations are a leading cause of denials and frustration for health systems, clinicians, and patients. A recent KFF survey found one-third of insured adults identified prior authorisation as the biggest burden when accessing healthcare. Humata's solution enables providers to achieve up to a 96% first-pass approval rate whilst reducing write-offs by 30%, rescheduled appointments by 83%, and staff touches by 45%. The technology will integrate with Phare OS to support real-time authorisations and deeper collaboration between payers and providers.

Associated Press
Jun 30th, 2026
Humata Health launches AI prior authorisation platform for independent practices, cutting manual work by 45%

Humata Health has launched a standalone prior authorization platform targeting independent practices, regional health centres and specialty clinics. The AI-powered tool analyses clinical documentation against payer policies before submission, providing real-time scores and identifying potential denial triggers. The platform requires no electronic health record integration and operates through a secure web portal. It features documentation grading, automatic responses to payer clinical survey questions, and drag-and-drop file uploads. Humata claims its technology eliminates 45% of manual touches and achieves 96% first-pass approval rates. The expansion marks Humata's first move beyond large health systems. The company is accepting applications for limited early access, with initial participants receiving direct support and input into product development. Humata is backed by Blue Venture Fund, LRVHealth, 406 Ventures and Highmark Ventures.

406 Ventures
Jun 25th, 2026
Humata Health expands reach of prior authorization technology to independent practices, regional health centers and specialty clinics.

Humata Health expands reach of prior authorization technology to independent practices, regional health centers and specialty clinics. New portal extends Humata's AI-powered prior authorization and medical necessity technology to markets where nearly half of all prior authorization requests are still submitted by phone, fax or mail WINTER PARK, Fla. - June 25, 2026 - Humata Health, the leader in AI-powered medical review technology, today announced a new standalone prior authorization platform built for independent practices, regional health centers and specialty clinics. The denial reduction tool analyzes clinical documentation against applicable payer policies before submission and returns a real-time score, identifying gaps in the record that may trigger a denial while reducing time spent on preparation. It also features attestation answering that automatically generates responses to payer clinical survey questions. The announcement marks Humata's first step in delivering its prior authorization platform beyond the large health system market to the providers that historically have navigated the process without dedicated technology. The company has opened a limited early-access waitlist for interested practices and regional hospitals. Prior authorization's burden on independent physicians grows heavier each year, with little of the infrastructure larger health systems use to manage it. Clinicians and their staff complete an average of 45 prior authorization requests per physician per week. Almost half of prior authorization requests are submitted manually by phone, fax or mail, taking up nearly two full business days of administrative time. Despite this significant drain on time and resources, staff handling prior authorizations submit clinical documentation with no visibility into whether the payer will approve or deny the request until after the work is already done. Humata Health's prior authorization platform closes that that visibility gap and speeds the entire process with the following features: * Documentation Grades and Guidance: Practices upload their clinical documentation through a drag-and-drop interface. The platform then scores it against applicable Medicare coverage determinations and commercial payer policies in real time, returning an instant completeness grade with an analysis identifying missing records, lab results or step-therapy notes before anything reaches the payer. * No EHR Integration Required: The tool operates through a secure web portal, so any independent practice or specialty clinic can get started without IT infrastructure or a lengthy implementation process. * Attestation Answering reads the uploaded clinical bundle and automatically generates responses to payer clinical survey questions, eliminating a manual step that takes significant time and is prone to errors. "There are thousands of practice managers, billing supervisors and clinical operations leaders in this country who handle prior authorization using fax machines and phone calls, with no technology built to help them streamline this time-consuming and labor-intensive process," said Jeremy Friese, MD, Founder and CEO of Humata Health. "Because every prior auth portal that exists today was built by payers, for payers, the system was never optimized for provider needs. That's why we're deploying the first AI-enabled prior authorization portal designed for providers, with the ultimate aim of handling all prior auth requests, regardless of payer." Humata's expansion into the independent practice market is part of a broader, long-term effort to make prior authorization work for every provider in the U.S., regardless of size or specialty. From the beginning, Humata's mission has been to make prior authorization seamless for providers, payers, and patients, and this launch is a meaningful step toward delivering on that promise at scale. The new platform draws directly from the technology Humata deploys at major hospitals and health systems nationwide. By turning prior authorization from a time-consuming manual process into an exception-based workflow, its AI eliminates 45% of manual touches and achieves 96% first-pass approval rates. Humata is accepting applications from independent practices and specialty clinics for its limited early-access release. Initial participants will receive direct support from the Humata team and will have direct input into the product roadmap. Interested practices can join the waitlist here. About Humata Health. Humata Health is the leader in AI-powered, touchless prior authorizations. A health tech company "Built for Yes," its mission is to make prior authorization easy and seamless for providers, payers and the patients they serve. With the industry's largest ecosystem of integrations and proprietary technology that gathers the right clinical information required for fast approval, the Humata platform is the only truly end-to-end prior authorization solution for all services and procedures. Humata is a physician-led company that is backed by a syndicate of strategic healthcare investors including Blue Venture Fund, LRVHealth, 406 Ventures and Highmark Ventures.

Associated Press
Mar 18th, 2026
Former CMS deputy administrator Elizabeth Fowler joins Humata Health board to advance AI medical review

Humata Health, a Florida-based AI-powered medical review technology company, has appointed Elizabeth Fowler to its board of directors. Fowler previously served as deputy administrator of the Centers for Medicare & Medicaid Services and director of the Center for Medicare and Medicaid Innovation, where she led efforts to promote value-based care nationally. Founded in 2023, Humata uses AI and automation to streamline prior authorisation processes between payers and providers. The company's technology is deployed at hundreds of hospitals nationwide and achieves 96% first-pass approval rates whilst eliminating 45% of manual touches. Fowler brings experience from drafting the Affordable Care Act and roles at The Commonwealth Fund and Johnson & Johnson. She currently teaches at Johns Hopkins Bloomberg School of Public Health.

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