Sohar Health provides an API-first platform that automates eligibility verification and medical coding for behavioral health insurance claims, achieving a 99% accuracy rate across hundreds of insurance providers. This technology reduces manual operations, increases patient intake, and minimizes claim denials, ultimately enhancing revenue for behavioral health providers.
Funding
$3.7M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Behavioral health providers face challenges in efficiently verifying patient insurance eligibility and accurately coding claims, leading to increased administrative overhead, delayed reimbursements, and potential revenue loss. Manual processes are time-consuming, prone to errors, and can result in claim denials due to incorrect or incomplete information.
Solution
Sohar Health offers an API-driven platform that automates insurance eligibility verification and medical coding specifically for behavioral health claims. The platform integrates with hundreds of insurance providers, providing real-time access to patient coverage details and ensuring claims are accurately coded. By automating these processes, Sohar Health reduces manual workloads, minimizes claim denials, and accelerates revenue cycles for behavioral health practices. The solution enables providers to focus on patient care while optimizing their financial performance through streamlined administrative workflows.
Target Audience
Sohar Health primarily targets behavioral health providers, including therapists, psychologists, psychiatrists, and treatment centers, seeking to streamline their insurance verification and claims processing workflows.
Features
- API-first architecture for seamless integration with existing practice management systems and electronic health records (EHRs)
- Automated eligibility verification across a wide network of behavioral health insurance providers
- Intelligent medical coding algorithms that ensure claims accuracy and compliance
- Real-time access to patient coverage details, including benefits, co-pays, and deductibles
- Customizable rules engine to automate claim scrubbing and identify potential errors before submission
- Comprehensive reporting and analytics dashboard to track eligibility verification rates, claim denial trends, and revenue cycle performance