Humata Health

Humata Health is a physician-led healthcare technology company that specializes in automating the prior authorization process using artificial intelligence. Founded by Dr. Jeremy Friese, a radiologist from Mayo Clinic and Harvard, the company addresses prior authorization challenges across all medical specialties, connecting providers and payers through a unified AI-powered platform.

The company's technology offers two distinct solutions: for healthcare providers, it automates authorization submissions through exception-based workflows, AI clinical bundling, and direct EHR API integration; for payers, it provides digitized policy management, AI-powered clinical summaries, and assisted determination workflows. The platform achieves 90% touchless authorization rates and processes human-touched cases in under two minutes while maintaining real-time transparency.

Humata Health maintains HITRUST CSF v9.5.0 r2 certification, HIPAA compliance, and SOC 2 Type II attestation. The company has secured strategic investments from Blue Venture Fund, LRV Health, Optum Ventures, and Highmark, and partners with major healthcare technology platforms including Availity, EviCore, Microsoft, and Carelon Health.

Healthcare organizations should consider Humata Health when prior authorization volume creates significant administrative burden and delays patient care. The platform excels in environments with high imaging referral volumes, complex payer relationships, and organizations seeking measurable ROI through documented FTE reduction and automation rates.

Buyers can expect a physician-designed implementation approach that understands clinical workflows, integration with existing EHR systems through API connections, and a managed service model that handles both technology and operational support. The dual-sided platform approach means both provider and payer perspectives are addressed in the solution design.

Humata Health operates exclusively in healthcare prior authorization, with particular depth in imaging services, specialty referrals, and medical necessity determination. The company's HITRUST certification, HIPAA compliance, and strategic investments from major health plans (Optum, Highmark, Blue Cross Blue Shield ventures) demonstrate healthcare-specific commitment. Clinical documentation understanding is built into the AI models, enabling automated mapping of unstructured clinical notes to payer criteria.

The platform addresses specific healthcare challenges including denial prevention, first-pass approval improvement, payer policy interpretation, and compliance with regulatory requirements. Technology partnerships with healthcare-specific platforms like Availity, EviCore, and Carelon Health ensure deep integration with existing healthcare infrastructure.

The ideal client is a mid-to-large health system or specialty practice group processing thousands of prior authorizations monthly, particularly for imaging and specialty referrals. Organizations with mature revenue cycle operations, existing EHR API capabilities, and relationships with multiple payers will see fastest implementation. Health plans seeking to reduce review times while maintaining clinical rigor also represent strong fit clients.