soso automates eligibility checks, prior authorizations, and other administrative tasks by interacting directly with existing EMRs, payer portals, and phone systems, eliminating the need for API integrations or system replacements.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare staff spend significant time manually navigating multiple payer portals, EMR systems, and phone calls to verify patient insurance eligibility and obtain prior authorizations, leading to delays, errors, and administrative overhead.
Solution
soso automates eligibility checks, prior authorizations, and related administrative tasks by observing and replicating existing staff workflows across EMRs, payer portals, and phone systems. The platform learns each step—clicks, data entry, and calls—without requiring API integrations or system replacements. It performs these actions in under 60 seconds, delivering verified coverage details and payment estimates while continuously monitoring for plan changes. For prior authorizations, soso submits, tracks, and follows up on requests across portals and phone interactions, intervening only when clinical input is needed. The solution integrates seamlessly with the tools clinicians already use, reducing manual effort and accelerating revenue cycle processes.
Target Audience
Primary customers are medical practice administrators, billing teams, and clinicians in outpatient clinics and specialty practices that manage high volumes of eligibility checks and prior authorizations.
Features
- Workflow learning engine that watches current staff actions and replicates them across EMRs, payer portals, and phone systems
- Click‑and‑type automation that navigates payer portals, enters member IDs, dates of birth, and retrieves eligibility data
- Real‑time insurance verification with payment estimates (copay, deductible, visit limits) delivered in under 60 seconds
- End‑to‑end prior authorization automation: submission, tracking, and chase calls until approval, with alerts for required clinical notes
- Continuous monitoring of payer plan changes to keep eligibility information up to date
- No API integration or system replacement required; works with existing practice tools and clearinghouse sites
- Customizable workflow templates for common tasks and ability to build bespoke automations for unique practice processes