Sohar Health

Sohar Health is an API-first insurance verification platform for healthcare providers, including behavioral health groups, outpatient clinics, specialty practices, and digital health platforms.

Key capabilities include:

• Real-time eligibility and Verification of Benefits (VoB): instant checks across national and regional payers that return structured benefit details such as co-pays, coinsurance, and deductibles, supporting cost estimation in intake workflows.
• Insurance discovery: identifies active coverage using name, date of birth, and state, designed to surface insurance for patients who arrive as self-pay (reported 60% success rate).
• Network status and carve-out detection: verifies in-network vs out-of-network status and identifies carve-outs (reported >90% detection) to reduce surprise billing risk and prevent incorrect submissions.
• Speed and automation at scale: reported median latency of 6 seconds, 90%+ of verifications within 30 seconds, and automation rates up to 94–95% in production workflows.

Pricing: Unknown.

Notable for measurable operational outcomes and scale, including 96% accuracy in benefits verification, 99% in eligibility determination, and 4–5M+ eligibility checks annually, with documented customer results such as 94% automation (Mindful Health Solutions) and reported 8x to 50x ROI within 12 months.