Humana, Epic Roll Out Automated Insurance Verification and Digital Check-In for MA Members
The insurer is activating Epic's Coverage Finder and Digital Insurance Card Exchange features for its Medicare Advantage (MA) members, aiming to cut down on manual paperwork at the point of care.
Humana and Epic have advanced their data-sharing collaboration with the rollout of automated insurance verification and digital check-in capabilities, aligning with federal interoperability goals ahead of the Trump administration’s first-quarter 2026 deadline.
The insurer is activating Epic's Coverage Finder and Digital Insurance Card Exchange features for its Medicare Advantage (MA) members, aiming to cut down on manual paperwork at the point of care.
The initial deployment will cover about 800,000 Humana MA members receiving care across 120 health systems, with the potential for millions more to benefit as additional providers enable these tools, the companies said. The features eliminate the need for physical insurance cards or repeated manual entry, offering providers real-time access to accurate coverage details.
The move comes as healthcare organizations push to phase out outdated, paper-based processes. Humana and Epic were among the first 60 organizations to sign a White House pledge targeting the elimination of manual workflows. That commitment has since grown to include about 400 organizations.
The upgrades are part of a broader industry shift to streamline front-desk operations, where insurance verification and patient check-in remain among the most time-consuming tasks. Epic and other electronic health record (EHR) vendors are digitizing these workflows in coordination with payers and providers, boosted by the Centers for Medicare & Medicaid Services’ (CMS) Health Technology Ecosystem initiative announced in July.
Humana and Epic showcased the new capabilities last week at the CMS Connectathon in Washington, D.C., where CMS also previewed its beta-stage national provider directory. Epic built the features into its Payer Platform, which securely shares members’ insurance data—including coverage details and digital insurance cards—directly with providers using its EHR.
Health system executives say the tools simplify the patient experience from arrival. “These capabilities help us meet patients where they are—by simplifying check-in, ensuring accurate information, and making their experience smoother,” said Imran Andrabi, M.D., president and CEO of Froedtert ThedaCare.
Epic and Humana noted that the automation can reduce time spent at the front desk by up to 50%, while helping prevent errors in insurance data and billing. The companies said the information exchange follows national interoperability standards designed to protect patient data.
Stay tuned for more such updates on Digital Health News