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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.
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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Total Funding
$25M
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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.
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.
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.
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.
AI-HealthTech innovator Humata Health Partners with AccuKnox for Zero Trust CNAPP. PR Newswire Today at 3:23am PDT PR Newswire MENLO PARK, Calif., March 13, 2026 MENLO PARK, Calif., March 13, 2026 /PRNewswire/ - AI-HealthTech innovator Humata Health announced that it is partnering with AccuKnox, a leader in Code to Cognition Security, Zero Trust Cloud-Native Application Protection Platform (CNAPP), to streamline security for its SaaS platform. Healthcare Security Requirements To meet HIPAA mandates, the company adopted an on-prem deployment supported by AccuKnox. By implementing Application Security Posture Management (ASPM) with DAST scanning, AccuKnox delivered risk prioritisation and automated compliance. Why Humata Health Chose AccuKnox After evaluating multiple vendors, Humata Health selected AccuKnox for its: * Unified ASPM for Azure DevOps * On-prem deployment for HIPAA compliance. * Integration with GitLab and Azure DevOps. * Fast, coordinated execution across Sales, Product, and Leadership. During the proof of concept, AccuKnox showcased how ASPM delivers actionable insights, automates compliance, and provides unified visibility across cloud environments. Leadership Testimonials "At Humata Health, securing our customers' data is critical," said Duy Dang, Director of Information Security & IT, Humata Health. "AccuKnox's ASPM and CNAPP capabilities allowed us to enhance our application security posture quickly and effectively. The team's responsiveness and technical guidance made the deployment seamless and impactful." "We are thrilled to partner with AI-powered HealthTech leader Humata Health to enhance the security of their software development lifecycle," said Brian Laing, CSO, AccuKnox. "Through our Application Security Posture Management (ASPM) capabilities - including full Azure DevOps and GitLab integration - Humata Health gains unified visibility and control across its CI/CD pipeline." "This win showcases how alignment, agility, and customer-first execution drive real outcomes," said Emre Kulali, VP of Strategic Partnerships, AccuKnox. "Humata Health's trust in our ASPM and CNAPP capabilities reaffirms our commitment to enabling secure innovation for healthcare organisations worldwide." About Humata Health Humata Health specialises in simplifying prior authorisation for healthcare treatments and procedures. By leveraging cloud-native technologies, the company delivers frictionless, secure, and compliant healthcare workflows that improve patient outcomes and provider efficiency. About AccuKnox AccuKnox delivers a Zero Trust Security platform for AI, API, application, cloud, and supply chain security. Incubated out of R&D innovator SRI International (Stanford Research Institute), AccuKnox holds seminal Zero Trust security patents and is backed by top-tier investors including National Grid Partners, Dolby Family Ventures, Avanta Ventures, and the 5G Open Innovation Lab. SOURCE AccuKnox This is a paid placement. For further inquiries, please contact PR Newswire directly.
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Industries
Enterprise Software
AI & Machine Learning
Healthcare
Company Size
51-200
Company Stage
Early VC
Total Funding
$25M
Headquarters
Columbus, Ohio
Founded
2017
Find jobs on Simplify and start your career today