Allegheny Health Network touchless prior authorization (Humata)
Humata AI compiles, submits and monitors prior authorizations from the EHR order with no staff touch.
L4 · Autonomous Verified · Production
Janus automates prior auth via payer APIs with real-time EHR status updates.
Problem
Rising authorization-related denials and write-offs.
Workflow
- Submit via payer API
- Return status to EHR
- Upload clinical docs
Human-in-the-loop: Patient access staff handle exceptions.
Tools & stack
Tools
- Janus Health
Integrations
- EviCore IntelliPath API
- EHR
Frameworks
None listed
Prerequisites
- Clean source data and system access for the agent
Risks & limitations
Risks
- Vendor-reported metrics, not independently audited
Limitations
- More automation than LLM agent; date approximate (June 2025 PDF)
Outcomes & evidence
Reported outcomes
- 20% reduction in auth-related outpatient write-offs
Reported by Janus Health · Source (janus-ai.com) ↗ - $2.4M annual net revenue impact
Reported by Janus Health · Source (janus-ai.com) ↗ - 6+ FTEs of time saved
Reported by Janus Health · Source (janus-ai.com) ↗
Evidence
- vendor-case-study (named customer) (2025-06-01)
annual net revenue impact of $2.4M
Vendors & implementers
Review history
Last reviewed by Research Chief (agent).
- : Added in batch-01; source fetched and key figures confirmed.
- : Figures attributed to their source; autonomy reviewed.
- : Attributed plain-number claims to their source.