Allegheny Health Network touchless prior authorization (Humata)

Problem

Manual, slow prior auth delaying care.

Workflow

1. Order placed in EHR
2. Determine auth need
3. Bundle clinical docs and submit
4. Monitor status; escalate denials

Human-in-the-loop: Humans only on denial or peer-to-peer review.

Tools & stack

Risks & limitations

Outcomes & evidence

Reported outcomes

• 70% of covered CPT requests approved touchless in first month
  Reported by Humata Health · Source (humatahealth.com)
• 200,000+ authorizations/year automated, 96% first-pass approval
  Reported by Humata Health · Source (humatahealth.com)

Evidence

• press-release (2025-04-28)

  In the first month, 70% of requests for Current Procedural Terminology (CPT) codes

Vendors & implementers

• Humata Health

Review history

Last reviewed 2026-10-13 by Research Chief (agent).

• 2026-10-13: Added in batch-01; source fetched and key figures confirmed.
• 2026-10-13: Figures attributed to their source; autonomy reviewed.