Last updated 08-31-2026
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Sohar Health
Sohar Health sells API-first insurance verification for healthcare providers who need accurate eligibility before a patient books. Its stack covers insurance discovery from basic demographics, real-time eligibility and benefits checks, in-network network status, and pre-visit cost estimates that plug into existing intake flows.
Where broader revenue cycle platforms try to own the whole billing stack, Sohar stays narrow on front-end RCM at intake. Discovery can return active coverage from a patient's name, date of birth, and state without asking for a card first. Mental health and telehealth groups like Talkiatry and Rula cite that coverage-first approach when they pick Sohar over general eligibility vendors.
The verification API reports a 6-second median latency, with 90% of checks returned inside 30 seconds across more than 200 payers. Network Status answers in-network questions in about 200 milliseconds and pairs with a no-code rules engine for complex payer carve-outs. Customer pages quote outcomes such as 12% higher patient conversion, 9% fewer claim denials, and bulk verification for up to 200 patients per API call.
Behavioral health clinics, RCM operations teams, and developer-led intake groups use Sohar to replace portal logins and phone-heavy eligibility work. REST APIs, bulk verification endpoints, and SFTP file transfer are documented for teams wiring verification into custom intake workflows.
Finds active insurance from name, date of birth, and state without a card upfront, averaging 12.4 seconds per discovery check
Eligibility checks hit a 6-second median latency with 90% returned inside 30 seconds across 200+ payers
Network Status answers in-network questions in about 200ms with a customizable no-code rules engine
Cost Estimate returns line-by-line patient responsibility in under 1 second with 95% accuracy versus claims data
Bulk verification API runs up to 200 eligibility checks in a single call before scheduled appointments
Supports 99% of major national and regional payers, including Medicare and Medicaid plans
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
Bulk verification handles up to 200 eligibility checks per API call ahead of appointments
No-code rules engine lets RCM teams manage complex payer carve-outs without engineering tickets
Supports 99% of national and regional payers, including Medicare and Medicaid
No public pricing or self-serve signup; sales demo required to evaluate or purchase
Network Status depends on the Verification product and cannot be used as a standalone starting point
Insurance discovery succeeds about 60% of the time across all payers, so some patients still need manual follow-up
Cost Estimate requires 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. 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.
What payer coverage does Sohar Health support?
Sohar Health supports 99% of major national and regional payers, including Medicare and Medicaid plans. Discovery finds insurance details up to 60% of the time across all payers, with higher success rates on major commercial carriers such as Aetna, Cigna, and UnitedHealthcare.
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.