Automated, payer-connected prior authorization workflow
Digital Auth Complete, powered by Humata Health, is an AI-powered prior authorization solution that transforms prior authorization from a manual bottleneck into an automated, transparent and payer-connected workflow. With seamless EHR integration and connections to over 250 payer systems, it automates the end-to-end prior authorization process and gives providers the tools they need to secure timely authorizations, ensuring patients receive care without unnecessary delays.
Key features
Automated authorization and medical policy requirement checks
Digital Auth Complete connects to more than 250 payer systems to determine if an order needs prior authorization, thereby mitigating unnecessary submissions. If needed, the solution surfaces the payer's current medical policy in the EHR, checking it against clinical documentation for alignment.
AI-driven clinical bundling
Utilizing AI, Digital Auth Complete analyzes clinical content and recommends appropriate documentation based on plan, CPT and diagnosis. This intelligent guidance helps reduce labor-intensive processes and improves first-pass approval rates.
Multi-channel payer submission
Digital Auth Complete supports submission to more than 250 payers through diverse submission modalities, including direct submission, integrated e-fax and payer portals.
Automated status checks and data capturing
Digital Auth Complete automates prior authorization status checks. Completed authorization data, including authorization numbers, dates, visit counts and any denial or “additional info needed” messages, are integrated back into the EHR.
Prior authorization monitoring and denial mitigation
The solution proactively tracks and flags changes to key attributes — such as CPT codes, coverage, diagnoses, procedure dates and place of service — and links them to referral statuses, thereby mitigating retroactive denials and rescheduling delays.
Outcomes*
45%
reduction in manual touches
96%
first-pass approval rate
80%
increase in bundling efficiency
Key benefits
Enhances operational efficiency
Automate time-consuming administrative tasks and eliminate duplicate data entry with EHR integration.
Drives financial integrity
Automation enables accurate, high-quality submissions, supporting first-pass approvals with reduced denials and rework.
Improves access to timely care
Automation facilitates faster approvals, enabling timely access to care, fewer reschedules and improved patient satisfaction and outcomes.
Industry insights
On-demand webinar
Discover how healthcare professionals are working toward simplifying the prior authorization process to create easier patient access.
White paper
Discover how the right technology partner paired with deep EHR integration and workflow alignment can transform your prior authorization process.
E-book
Creating a connected system to improve risk and quality outcomes.
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Solution suite
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Solution suite
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Research
Healthcare consulting services
Our services turn your challenges into opportunities as we help you create more equitable and efficient systems of quality care.
*Results are based on Humata Health’s internal calculations and validation.