Humata Health vs Valer (Voluware)
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 | Valer (Voluware) | |
|---|---|---|
| Pricing model | Enterprise contract (custom) · Priced on volume and workflow complexity | Not published · custom quotes for health systems |
| Speed to go live | EHR-embedded, standard integration project | customized to each workflow and EHR |
| Automation model | Autonomous agents · Touchless prior auth, exception-based review | Software platform · single portal for all payers |
| Built for | Mid-size groups, Enterprise systems, Payers | Mid-size groups, Enterprise systems |
| Security posture | SOC 2 Type II, HITRUST, HIPAA | HITRUST |
| Company maturity | 3 yrs (est. 2023) | 14 yrs (est. 2012) |
| Financial backing | $25M+ · Series A | PE-backed (Hughes & Company) |
| Named customers | 5 named | 1 named |
| Published results | No public numbers | No public numbers |
| Documented integrations | 4 listed | 4 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 Valer if your staff juggles dozens of payer portals and faxes for prior auths and you want one submission and tracking hub across all service lines.
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
Valer (Voluware)
Prior auth submission and tracking automation across payer portals
- Founded
- 2012
- HQ
- Huntington Beach, CA
- Stage
- PE-backed (Hughes & Company)
- Raised
- $7.6M disclosed
What it does
- Automated PA submission to 75+ payer portals
- Auto-completion of 1,000+ payer fax forms
- Automated status checking and verification
- Bi-directional EHR sync using standard 278/275 transactions
- Covers procedures, referrals, and services, not just drugs
- Reporting on turnaround times and staff productivity
Where it's strong
- Covers the messy middle of PA: portal and fax submissions that pure API-based tools cannot reach.
- Bi-directional Epic integration writes auth numbers and statuses back automatically.
- Workflow is configured per client rather than one-size-fits-all, which suits complex health system setups.
What buyers should weigh
- Small company with modest disclosed funding, so evaluate roadmap and support depth against bigger rivals.
- Portal and fax automation depends on payer sites staying stable; expect some maintenance lag when payers change portals.
- Per-client configuration means implementations take real effort compared with plug-and-play point tools.
Named customers
Oregon Health & Science University (OHSU)
Integrations
Compare against the rest of Prior Authorization
Deciding between these two?
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