Humana's interoperability solutions streamline workflows, optimize patient care and reduce administrative burden—it’s data at your fingertips.

The numbers show the impact

6M

Humana members impacted by our solutions in 2024

650K

providers connected to our solutions

200M

clinical records shared annually

25+

KLAS awards since 2022 and the first payer to obtain Epic Blue Ribbon certification (2024)

As a healthcare provider, nothing matters more to you than delivering high-quality care. When you're spending less time on administrative tasks, you can spend more time with your patients. Make the most of your time and deliver your best clinical outcomes through Humana's interoperability solutions. These solutions allow you to seamlessly exchange information, increasing efficiency, while setting the conditions for better patient experiences and health outcomes.

Imagine you have a patient named Jane. You've ordered a test to diagnose her condition. Rather than spending time calling or faxing to request an authorization, you can submit the  request immediately within your workflow; receiving instantaneous approval more than 50% of the time. This is made possible through our Medical Authorization solution.

Our Point of Care Alert solution further supports you by automating insights for patient care opportunities. Humana delivers over 10 million alerts annually, supporting clinician  decision-making; contributing to quality-gap closure and impactful care coordination. This secure exchange of information reduces care delays, and improves patient experiences and satisfaction, while also reducing your administrative workload.

With our Medical Record Retrieval solution, providers see an average of 85% reduction in medical request letters and 26% reduction of denials for lack of medical records.

Humana has already connected over 650,000 providers to these award-winning  interoperability solutions. If you're ready to streamline your workflows and drive further quality in your practice, allow us to help.

Together, we can help you focus on what matters most - more time for care.

Learn how Humana interoperability transforms patient care

Gain real-time authorizations, automated insights and seamless data exchange to improve efficiency and patient outcomes. With 10 million alerts delivered annually, we simplify workflows to empower your practice and patients.

Explore our solutions

Data analytics, interoperability and data liquidity are crucial for value-based care, helping you deliver effective, coordinated and cost-efficient healthcare. These tools enable better patient management and care coordination, making you more successful in value-based care.

Data exchange solutions

Medical record retrieval (MRR)

Save time and reduce hassle. Humana sends health overviews directly to our system, streamlining your office workflows.

Point of care alerts (POCA)

Receive actionable alerts that reveal gaps in care or unreported conditions, empowering you to provide comprehensive, informed care.

Supplemental data file

Access detailed data feeds that streamline medical record transactions and close care gaps, including Healthcare Effectiveness Data and Information Set (HEDIS®) and Medicare Risk Adjustment (MRA) compliance support.

Admits, discharges, & transfers (ADTs)

Stay ahead of your patients’ needs. Receive real-time updates on admissions, discharges, and transfers, allowing Humana to support better care outcomes.

Compare all solutions at a glance

 

Workflow integration solutionsPoint of service solutions

Let's align on our goals

Request a meeting with one of our interoperability experts.

First name
Last name
Provider name
Your role
State
Email
Phone number
Extension
Are you currently a contracted provider with Humana?
YesNo
What EMR do you currently use?
What problem are you looking to solve for?
Close quality gapsEnhance patient careCondition captureBoost value-based performanceIncrease efficiencyOther

Work with some of the top Electronic Health Records systems

We collaborate with a variety of Electronic Health Records (EHRs) and have built strong partnerships with industry leaders like Epic, Athenahealth, eClinicalWorks, Veradigm, and more representing over 80% of the EHR market.

Stay informed

Stay in the know

Receive the latest news, resources and administrative information from Humana.

Subscribe to our newsletter

Moving to VBC

Learn how Humana is empowering providers to make the shift towards value-based care.

Learn more about VBC

Join our community of developers

Browse our self-service Application Programming Interfaces (APIs) and view sample requests, response codes and more.

Explore Humana Data Exchange