Humata Health vs Infinx
Two Prior Authorization vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Humata Health | Infinx | |
|---|---|---|
| Pricing model | Enterprise contract (custom) · Priced on volume and workflow complexity | Enterprise contract (custom) · Software plus services, quote-based |
| Speed to go live | EHR-embedded, standard integration project | Standard EHR integration project |
| Automation model | Autonomous agents · Touchless prior auth, exception-based review | Tech-enabled service · AI agents plus expert staff |
| Built for | Mid-size groups, Enterprise systems, Payers | Mid-size groups, Enterprise systems, Billing companies |
| Security posture | SOC 2 Type II, HITRUST, HIPAA | HITRUST, SOC 2 Type II, HIPAA |
| Company maturity | 3 yrs (est. 2023) | 14 yrs (est. 2012) |
| Financial backing | $25M+ · Series A | $186M reported · Growth (KKR minority stake 2024) |
| Named customers | 5 named | None public |
| Published results | No public numbers | No public numbers |
| Documented integrations | 4 listed | 5 listed |
| Third-party validation | None found | None found |
Bottom line
- Pick Humata Health if prior auth volume is drowning your staff and you want touchless submissions inside the EHR with payer-grade compliance credentials.
- Pick Infinx if you want prior auth and revenue cycle work handled by a blend of AI and human specialists rather than buying software your staff must run.
Humata Health
AI prior authorization for providers and payers
- Founded
- 2023
- HQ
- Orlando, FL
- Stage
- Series A
- Raised
- $25M+
What it does
- Matches payer policies to determine if prior auth is required
- Auto-gathers and bundles clinical documentation for submission
- Submits authorizations touchlessly across payer connections
- Monitors auth status and flags changes after submission
- Detects CPT mismatches before submission
- Supports gold-carding and exception-based review workflows
Where it's strong
- Founder Jeremy Friese, MD previously built and sold Verata Health, so this is a second product in the same category, not a first attempt.
- Strategic investors on the payer side (Blue Venture Fund, Optum Ventures, Highmark Ventures) give it unusual payer connectivity for a provider-facing tool.
- Real deployment scale for its age: roughly 225 hospitals and 42,000 physicians, plus CMS selecting it as a technology partner for the WISeR model.
What buyers should weigh
- Headline metrics like 96% first-pass approval and 45% fewer manual touches are vendor-reported, so validate them against your own service lines in a pilot.
- Its role as an AI clinical-review partner in the CMS WISeR model puts it on both the provider and payer sides of prior auth, which some provider organizations may see as a conflict.
- The company traces back to prior authorization assets from Olive AI, which shut down, so diligence which parts of the platform are new versus inherited.
Named customers
Texas Health Resources · Hartford HealthCare · Renown Health · Rochester Regional Health · Lee Health
Integrations
Infinx
AI plus specialists for prior auth and patient access
- Founded
- 2012
- HQ
- San Jose, CA
- Stage
- Growth (KKR minority stake 2024)
- Raised
- $186M reported
What it does
- AI prior authorization determination, submission, and status tracking
- Eligibility verification and benefits checks in one platform
- Patient pay estimates before service
- Certified specialists work exceptions automation cannot resolve
- AR recovery and denial management services
Where it's strong
- The AI-plus-human model delivers completed authorizations, not just software your staff still has to work.
- Deep roots in high-volume prior auth specialties like radiology, labs, and cardiology.
- Trusted by more than 900 provider organizations, with KKR and Norwest backing.
What buyers should weigh
- Part of the value is outsourced labor, so compare its per-transaction economics against pure software options.
- Named customer references are rare in public materials; case studies are anonymized.
- Broad service catalog means implementation scope needs careful definition up front.
Integrations
Compare against the rest of Prior Authorization
Deciding between these two?
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