How much does Humata Health cost?

Enterprise sales; no public rates.

What are the best alternatives to Humata Health?

Based on documented capability coverage across the Agentic Index 14 point taxonomy, the closest alternatives to Humata Health among healthcare agents are FinThrive, Latent Health, Nym, Tennr. Each is graded on the same public evidence, and no vendor pays for placement.

Does Humata Health give you tracing and observability into agent runs?

Full under the Agentic Index verification standard. Humata Health publishes public evidence of tracing, observability and audit logging into agent runs, so a team can see what an agent did and why. Evidence basis: An Analytics and Audit Trail component sits in every authorization lifecycle, with customizable Power BI dashboards across staff, payers and service lines. On the payer side, reviews run as structured, auditable processes for CMS-0057. Huma. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Does Humata Health have SOC 2, SSO and role based access control?

Partial under the Agentic Index verification standard. Humata Health publishes some public evidence of security and identity controls, but narrower than the full set of SOC 2, single sign on (SSO) and role based access control (RBAC). Evidence basis: HITRUST CSF v11.5.1 r2 certification covers Humata's services, products and infrastructure. Humata has annual SOC 2 Type II audits, with the report available on request, and is HIPAA compliant. It names no SSO, roles or permission model for. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Does Humata Health require human approval before an agent acts?

Partial under the Agentic Index verification standard. Humata Health publishes some public evidence of guardrails or oversight, but narrower than a documented human approval step before an agent acts. Evidence basis: Exception based workflows surface only what requires human review. Humata aims for 90 percent touchless authorizations and under two minutes for those a person touches. Staff review the initial clinical bundles while their weights are tuned. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Back to vendors

Humata Health

Q: Who is Humata Health for?

health systems, revenue cycle teams, payers

Visit site

Healthcare agentindependentVerified 2026-09-29

Entry priceContact salesFull pricing detail

Prior authorization automation for providers and payers: payer policy retrieval and matching, clinical bundling, submission across 250+ payer connections, statusing and post-auth monitoring, with exceptions routed for review; joining R1 as of August 2026.

Humata Health automates prior authorization for health systems, pharmacies and payers across services, procedures, infusions and specialty drugs. Founded by radiologist Jeremy Friese, MD, it retrieves and structures payers' medical necessity policies, matches the chart's documentation to them, builds the clinical bundle, answers attestation questions from EHR documentation and submits through 250+ payer connections, eFax or a portal assistant, then checks status and monitors approved authorizations for payer changes.

Cases that need no authorization close automatically, exceptions surface for human review, and the stated aim is 90 percent touchless authorizations with under two minutes for those a person touches. For payers, Humata turns medical and pharmacy guidelines into executable logic and AI summaries for nurse reviewers, with only outliers escalated. It integrates natively with the EHR (Epic at Texas Health Resources), writes back to it, and reports through dashboards and an audit trail. Humata states HITRUST r2 certification, annual SOC 2 Type II audits and HIPAA compliance, partners with CMS on the WISeR model, and announced in August 2026 that it is joining R1, integrating into R1's Phare OS. Pricing is by sales conversation.

Vendor details

Canonical URL

https://www.humatahealth.com

Funding status

~$25M raised 2024; Olive AI prior authorization lineage

Company status

independent

Use cases & customers

Primary use cases

touchless prior authorization submissionautomated authorization statusinggold cardingspecialty drug authorizations

Target customers

health systemsrevenue cycle teamspayers

Deployment options

SaaS

Integrations

Native EHR integration (Epic is named) covers order, appointment and clinical document integration and write backs. Humata has 250+ payer connections with direct submission, eFax and a portal assistant, HL7 and FHIR links to payer UM systems, an eMPA widget and Power BI analytics.

In practice

Your authorization team spends hours matching chart notes to each payer's medical necessity policy. Humata retrieves and maintains payer policies, matches the chart's documentation to them with NLP and builds the clinical bundle before submission.

Your staff log in to payer portals one by one to submit and chase requests. Humata submits through 250+ payer connections, eFax or its Portal Assistant, checks status automatically and watches approved authorizations for payer changes.

Most of your prior authorizations are routine, but a few need a person's judgment. Humata closes cases that need no authorization automatically, submits routine cases without an approval step and surfaces only the exceptions for human review.

Sources & related URLs

Research sources

https://www.honeyhealth.ai/articles/10-best-ai-surgical-prior-authorization-tools-2026

Agentic Index coverage score

7.5 / 14 capabilities · 54%

Integrations & Tool Calling	Full
Native EHR integration covers order, appointment and clinical document integration, with write backs to the EHR, and Epic is named at Texas Health Resources. Submissions run through 250+ payer connections with direct submission, eFax and a portal assistant. HL7 and FHIR connect to payer UM systems, and Humata also offers an eMPA widget and Power BI analytics. Sourcehumatahealth.com/technologyread 2026-09-29
Workflow Orchestration	Full
The prior authorization lifecycle runs in stages with conditions. Auth requirements checks automatically close the 20 to 40 percent of cases that need no authorization, and requests route to the medical or pharmacy benefit path. Clinical bundles are matched to policy, and submissions go by direct submit, eFax or portal. Exceptions surface for human review while routine cases stay touchless. Sourcehumatahealth.com/use-cases/proceduresread 2026-09-29
Knowledge Grounding & RAG	Full
Policy Translation retrieves, structures and maintains payers' medical necessity policies, which are specific to each plan and specialty and are retrieved through an API. PolicyMatch uses NLP to align the chart's documentation types to those rules before submission. For payers, medical and pharmacy guidelines are digitized into executable logic. Sourcehumatahealth.com/technologyread 2026-09-29
Human Oversight & Guardrails	Partial
Exception based workflows surface only what requires human review. Humata aims for 90 percent touchless authorizations and under two minutes for those a person touches. Staff review the initial clinical bundles while their weights are tuned. Routine cases submit without an approval step. Sourcehumatahealth.com/technologyread 2026-09-29
Security, Identity & Governance	Partial
HITRUST CSF v11.5.1 r2 certification covers Humata's services, products and infrastructure. Humata has annual SOC 2 Type II audits, with the report available on request, and is HIPAA compliant. It names no SSO, roles or permission model for the customer's own users. Sourcehumatahealth.com/security-and-complianceread 2026-09-29
Observability & Auditability	Full
An Analytics and Audit Trail component sits in every authorization lifecycle, with customizable Power BI dashboards across staff, payers and service lines. On the payer side, reviews run as structured, auditable processes for CMS-0057. Humata does not say what the audit trail records. Sourcehumatahealth.com/technologyread 2026-09-29
Memory & State Persistence	Not documented
Clinical bundles are built from historical submissions, and their weights adjust to user behavior. Humata names no memory that its agents keep, and no scope or lifetime for one. Sourcehumatahealth.com/use-cases/proceduresread 2026-09-29
Deployment & Data Residency	Not documented
Humata names no hosting region, no region choice and no option to run in the customer's own environment or on premises. Staff work inside the EHR through the native integration, and Humata does not say where the platform itself runs. Sourcehumatahealth.com/security-and-complianceread 2026-09-29
Prebuilt Agents, Templates & Packs	Partial
The modular solution comes packaged for procedures, drugs and payers. It runs from auth requirements, PolicyLink and clinical bundling, through PolicyMatch, submission support and attestation assist, to statusing, post-auth monitoring, gold carding and AI clinical review. The customer assembles these modules as stages of one prior authorization workflow. Sourcehumatahealth.comread 2026-09-29
Triggers & Channel Coverage	Full
Orders and appointments in the EHR start each case through the integration, so staff do not open cases by hand. Automated statusing checks internal and external authorizations, and post-auth monitoring watches for payer changes and requests. Sourcehumatahealth.com/use-cases/proceduresread 2026-09-29
Model Flexibility & Routing	Not documented
Humata describes its technology only as NLP and AI. It names no model provider or model name, and no model choice for customers. Sourcehumatahealth.com/technologyread 2026-09-29
APIs, SDKs & MCP Extensibility	Not documented
Customers get no API, SDK or MCP server to build on. Humata's proprietary APIs and its HL7 and FHIR interfaces connect it to EHRs, payers and UM systems. Sourcehumatahealth.com/organization/payersread 2026-09-29
Testing, Debugging & Optimization	Partial
Clinical bundles start from historical submissions with staff review, and Humata adjusts their weights automatically from user behavior. The analytics and audit trail feed continuous improvement. This loop runs after deployment, and Humata names no measure or test set. Sourcehumatahealth.com/use-cases/proceduresread 2026-09-29
Browser & Computer Use	Partial
Submission support includes a Portal Assistant alongside direct submission and eFax. Humata promises providers that staff no longer need portal logins, so the assistant acts inside payer portals where there is no API. Humata does not say how the assistant operates the portal. Sourcehumatahealth.com/use-cases/proceduresread 2026-09-29

The Agentic Index coverage score grades every vendor Full, Partial or Not documented against the same 14 buyer facing capabilities, from public evidence only. Each capability links to how all vendors in the index score on it. How this evidence is graded

Pricing

Contact sales

What is public

No prices, billing basis or plan names are published; a demo request is the route. Public figures are outcomes (96 percent first-pass approval, 45 percent fewer touches, 83 percent fewer reschedules).

Variable cost rationale

No billing basis or rate is published, so exposure to authorization volume cannot be checked from public pages.

Sales call required

Yes, required for paid access

Free / trial

None public

Agentic Index verified 2026-09-29

Official pricing page

Related vendors

Alternatives to Humata Health

The closest documented capability profiles to Humata Health among healthcare agents tracked by Agentic Index, ordered by similarity on the same 14 point evidence the rankings use. No vendor pays for placement.

FinThrive7.5 / 14Fuller documented coverage on Prebuilt Agents, Templates & Packs
Latent Health7.5 / 14Fuller documented coverage on Human Oversight & Guardrails
Nym7.5 / 14Fuller documented coverage on Testing, Debugging & Optimization
Tennr6.5 / 14A lighter documented profile than Humata Health
Arintra7.0 / 14Adds documented Deployment & Data Residency
CombineHealth9.0 / 14Fuller documented coverage on Human Oversight & Guardrails and Security, Identity & Governance

Similarity is computed from each vendor's Agentic Index coverage score evidence, axis by axis, not from the totals. How this evidence is graded

Compare Humata Health with other vendors →Compare all healthcare agents →See where Humata Health ranks →

Data confidence: medium

Head to head

Humata Health vs Develop HealthHumata Health vs Silna HealthHumata Health vs Anterior