Sohar Health
Sohar Health is an insurance verification platform built for healthcare providers who need accurate eligibility data before a patient ever sits in the waiting room. It combines discovery, real-time verification, network status checks, and patient cost estimates into API-driven workflows that plug into existing intake systems.
Founded in 2023 by a physician and an engineer (YC W23), Sohar focuses on front-end revenue cycle management. The company reports 96% benefit accuracy across more than 200 payers, median eligibility latency of 6 seconds, and more than 5 million verification checks annually for its clients.
Providers like Talkiatry, Rula, and Headway use Sohar to cut manual insurance work, reduce claim denials, and convert more patients during intake. Case studies cite outcomes such as 12% higher patient conversion, 9% fewer claim denials, and integrations completed in as little as three weeks.
The platform is built for developer teams and RCM operations staff alike, with REST APIs, bulk verification endpoints, a no-code rules engine for complex payer networks, and integrations with EHRs and practice management tools including Healthie, Athena, and AdvancedMD.
Finds active insurance from name, date of birth, and state without asking for a card upfront
Eligibility checks hit a 6-second median latency with 90% returned inside 30 seconds
Network Status answers in-network questions in about 200ms with customizable payer rules
Cost Estimate builds line-by-line patient responsibility using live benefit and contracted rate data
Bulk verification API runs up to 200 eligibility checks in a single call before appointments
Connects to Healthie, Athena, Keragon, Salesforce, and other EHR and intake platforms
Reports 96% benefit accuracy across more than 200 payers, with sub-30-second eligibility for most checks.
Covers the full intake stack from insurance discovery through network status and cost estimates.
Offers bulk verification for up to 200 checks per API call ahead of scheduled appointments.
Integrates with common healthcare platforms including Healthie, Athena, and Salesforce.
No public pricing or self-serve signup; sales demo required to evaluate or purchase.
Network Status depends on the Verification product, so it cannot be used as a standalone starting point.
Cost Estimate and some product capabilities require contacting the team rather than instant self-service access.
What does Sohar Health do?
Sohar Health provides API-based insurance verification for healthcare providers. Its products cover insurance discovery, real-time eligibility and benefits verification, in-network status checks, and pre-visit cost estimates designed to streamline patient intake and reduce claim denials.
How accurate are Sohar Health eligibility checks?
Sohar Health reports an average of 96% accuracy across benefits data such as copay and coinsurance for more than 200 payers over the last three months. The company contrasts this with 70-80% accuracy levels it cites for manual eligibility resolutions.
How fast are Sohar Health APIs?
Sohar Health says insurance discovery checks average 12.4 seconds, while eligibility verifications have a median latency of 6 seconds. About 90% of eligibility verifications are returned within 30 seconds, and Network Status responses are listed at around 200ms latency.
What data is required for an insurance discovery check?
Sohar Health requires basic patient details such as name, date of birth, and state or zip code, along with an NPI number. For a full eligibility verification, additional insurance information such as member ID and payer is needed.
Does Sohar Health integrate with EHRs and CRMs?
Yes. Sohar Health integrates with platforms including Healthie, Athena, AdvancedMD, Salesforce, Keragon, Awell, and Candid. The company also supports API-based connections and SFTP file transfer for custom workflows.
Does Sohar Health publish public pricing?
Sohar Health does not list public plan pricing on its website. Providers book a demo or contact the sales team to learn about pricing and implementation for their organization.

