Phare Auth is an AI-powered prior authorization solution. Its purpose-built AI is specifically designed for prior authorization workflows. This prior authorization software automates data entry, payer checks and status tracking, helping authorization staff focus on cases that require clinical experts. By reducing data entry, portal logins and other administrative tasks, Phare Auth helps overworked teams focus their time where it matters most. It also helps accelerate approvals, prevent downstream denials and improve patient access to care.

What is prior authorization automation?

Prior authorization automation uses AI and other technology to streamline manual steps throughout the prior authorization process. This can include gathering clinical information, identifying complex cases, checking payer policy, submitting requests and tracking their status. Modern prior authorization software can integrate with the EHR and connect with payer portals, helping providers reduce administrative burden, improve turnaround times and avoid preventable denials.

How does prior authorization software work?

Prior authorization software helps manage the tasks required to obtain payer approval before a patient receives certain services, procedures or medications. It can identify authorization requirements, gather supporting documentation, apply the appropriate payer policy, submit the request and track it through a decision. By connecting these steps in one workflow, prior authorization software can reduce manual work and give staff greater visibility into each request.

Which parts of prior authorization can be automated?

Many routine and repetitive steps can be automated, including benefit and authorization checks, clinical documentation collection, payer policy review, request submission and status tracking. More complex cases may still require staff expertise and follow-up. Effective prior authorization automation handles routine work efficiently while helping teams identify the cases that need human attention.

Can Phare Auth integrate with Epic and other EHRs?

Yes, Phare Auth supports integration with Epic and other EHRs, bringing prior authorization automation into providers’ existing workflows. This allows teams to manage more of the process within the systems they use every day, while reducing manual entry and the need to move between disconnected tools. The specific integration approach depends on an organization’s EHR environment, workflows and technical requirements.

Can Phare Auth connect across payer portals?

Phare Auth helps providers work across payer requirements and workflows, reducing reliance on disconnected, manual processes. Broad payer connectivity can support request submission, status tracking and access to the information teams need to keep authorizations moving. Available connectivity and workflow capabilities may vary by payer and authorization type.

Can prior authorization automation reduce delays and administrative burden?

Yes, because today's prior authorization teams spend too much time entering data, checking payer portals and following up on requests. Automation handles more of that routine work, giving staff time to resolve complex cases and help patients receive care sooner. It also identifies missing information earlier and directs complex cases to the appropriate staff.

Can prior authorization automation help prevent downstream denials?

Yes, prior authorization automation can help reduce authorization-related denials by applying payer requirements earlier, identifying missing documentation and helping teams secure approvals before care is delivered. No prior authorization solution can prevent every denial. However, moving payer intelligence upstream can address avoidable issues before they affect the claim, supporting cleaner claims and stronger revenue cycle performance.

What should healthcare organizations look for when evaluating a prior authorization solution?

Healthcare organizations should look for prior authorization software that fits naturally into their existing workflows and can handle every part of the authorization process, not just a one-off single point. It should provide: EHR integration, including native Epic integration where applicable Broad payer connectivity Automated payer policy checks Clinical documentation support Real-time status tracking Clear handling of exceptions and complex cases Reporting on turnaround times, approval rates and manual intervention Strong security and compliance controls The right prior authorization solution should do more than automate individual tasks. It should connect the process from start to finish, reduce administrative burden, help lower denial rates and support a healthier revenue cycle.

Phare Auth

Faster care starts with better prior authorization software

The wait ends here: Full pre-auth automation with expert support on complex cases helps you get to yes the first time.

Phare Auth, powered by Humata, unites full lifecycle AI automation and expert support to speed approvals and prevent authorization-related denials

96%

first-pass approval rate

45%

reduction in staff touches

80%

improvement in clinical bundling efficiency

83%

fewer reschedules

Features

From order to approval, let Phare Auth take the friction out of the prior authorization lifecycle. Take advantage of our scalability across procedures, payers and processes.

Intelligent determination

AI evaluates orders against payer requirements and clinical context to identify authorization needs early and eliminate time spent searching portals and payer sites.

Complete, policy-aligned submissions

Automatically gather relevant clinicals, apply medical necessity criteria, and use PolicyMatch to align documentation with payer requirements to build and submit complete requests.

Expert exception management

Routine authorization work is automated while R1 experts resolve complex exceptions to keep cases quickly moving toward approval.

Protect approvals to avoid delays

Continuous statusing and post-auth monitoring checks for changes after submission. CPT Mismatch identifies discrepancies between authorized and expected codes to avoid denials, write-offs or delays.

Native EHR integration

Designed to work across EHRs and built on the Epic eMPA platform, Phare Auth embeds automation into your team’s daily workflow – no toggling, retraining or disruption.

Featured customer success stories

Case study

How CentraCare achieved a 98.6% first-pass approval rate with prior authorization automation in Epic

See how CentraCare and Humata transformed prior authorization with AI-powered automation embedded in Epic, creating an exception-based workflow and scaling automation across service lines.

Download Case Study PDF

Smarter prior authorization is just the start. Connect to the full power of Phare OS and see where it takes your revenue.

Part of Phare OS

A pre-bill module within Phare OS, Phare Auth combines Humata's pre-auth technology with broader clinical and payer intelligence, supported by R1's rev cycle experts, helping providers accelerate access to care and reduce downstream denials.

Explore Phare OS

Complementary pre-bill solutions that extend value across patient access and accelerate care

Phare Utilization Management

Phare Utilization Management is an AI-enabled UM system that aligns clinical status decisions with payer reality and financial impact.

Explore Phare UM

Scheduling Optimization

R1 Scheduling Optimization turns stalled orders into scheduled visits to keep patient care on track.

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Pre-Service Peer-to-peer

R1 Pre-service Peer-to-peer reviews support medical necessity, getting authorizations and resolving disputes quickly.

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Frequently Asked Questions

FAQ: Prior authorization software

Phare Auth is an AI-powered prior authorization solution. Its purpose-built AI is specifically designed for prior authorization workflows. This prior authorization software automates data entry, payer checks and status tracking, helping authorization staff focus on cases that require clinical experts. By reducing data entry, portal logins and other administrative tasks, Phare Auth helps overworked teams focus their time where it matters most. It also helps accelerate approvals, prevent downstream denials and improve patient access to care.
Prior authorization automation uses AI and other technology to streamline manual steps throughout the prior authorization process. This can include gathering clinical information, identifying complex cases, checking payer policy, submitting requests and tracking their status.
Modern prior authorization software can integrate with the EHR and connect with payer portals, helping providers reduce administrative burden, improve turnaround times and avoid preventable denials.
Prior authorization software helps manage the tasks required to obtain payer approval before a patient receives certain services, procedures or medications. It can identify authorization requirements, gather supporting documentation, apply the appropriate payer policy, submit the request and track it through a decision.
By connecting these steps in one workflow, prior authorization software can reduce manual work and give staff greater visibility into each request.
Many routine and repetitive steps can be automated, including benefit and authorization checks, clinical documentation collection, payer policy review, request submission and status tracking.
More complex cases may still require staff expertise and follow-up. Effective prior authorization automation handles routine work efficiently while helping teams identify the cases that need human attention.
Yes, Phare Auth supports integration with Epic and other EHRs, bringing prior authorization automation into providers’ existing workflows. This allows teams to manage more of the process within the systems they use every day, while reducing manual entry and the need to move between disconnected tools.
The specific integration approach depends on an organization’s EHR environment, workflows and technical requirements.
Phare Auth helps providers work across payer requirements and workflows, reducing reliance on disconnected, manual processes. Broad payer connectivity can support request submission, status tracking and access to the information teams need to keep authorizations moving.
Available connectivity and workflow capabilities may vary by payer and authorization type.
Yes, because today's prior authorization teams spend too much time entering data, checking payer portals and following up on requests. Automation handles more of that routine work, giving staff time to resolve complex cases and help patients receive care sooner. It also identifies missing information earlier and directs complex cases to the appropriate staff.
Yes, prior authorization automation can help reduce authorization-related denials by applying payer requirements earlier, identifying missing documentation and helping teams secure approvals before care is delivered.
No prior authorization solution can prevent every denial. However, moving payer intelligence upstream can address avoidable issues before they affect the claim, supporting cleaner claims and stronger revenue cycle performance.
Healthcare organizations should look for prior authorization software that fits naturally into their existing workflows and can handle every part of the authorization process, not just a one-off single point. It should provide:
- EHR integration, including native Epic integration where applicable
- Broad payer connectivity
- Automated payer policy checks
- Clinical documentation support
- Real-time status tracking
- Clear handling of exceptions and complex cases
- Reporting on turnaround times, approval rates and manual intervention
- Strong security and compliance controls
The right prior authorization solution should do more than automate individual tasks. It should connect the process from start to finish, reduce administrative burden, help lower denial rates and support a healthier revenue cycle.