Sohar Health - Short Review

Health Tools

Sohar Health is a cutting-edge SaaS platform specifically designed to address the complex challenges faced by behavioral health companies. Founded by Dr. Ashish Mandavia and Lucas Gordon, who bring extensive experience in digital health, hospital administration, and health IT strategy, Sohar Health aims to revolutionize the efficiency, revenue generation, and patient care in the behavioral health sector.

Key Features and Functionality



API-Based Solution

Sohar Health operates through an API-based platform, which simplifies and automates various critical processes for behavioral health companies. This approach enables seamless integration with existing Electronic Health Record (EHR) systems and other healthcare IT infrastructure.

Targeted Insurance Eligibility Verification

One of the core features of Sohar Health is its ability to perform targeted insurance eligibility verification. This feature helps determine whether patients are eligible for care based on their payer contracts, ensuring accurate and swift verification upon patient intake. This process increases conversion rates by quickly identifying eligible patients.

AI-Powered Medical Coding

Sohar Health leverages AI to power its medical coding processes. This AI-driven approach automates manual medical coding workflows, significantly improving coding accuracy and reducing claim denials. By minimizing errors and ensuring precise billing, the platform helps behavioral health companies unlock up to 20% additional revenue and expand their eligible patient population.

Accurate Network Status and Verification of Benefits (VoB)

The platform provides accurate information about the network status of patients and automates the Verification of Benefits (VoB) process. This ensures that behavioral health providers have detailed and accurate information about patients’ coverage, including payer carve-outs and specific benefit requirements. This feature is crucial for navigating the complex landscape of behavioral health benefits mapping.

High Accuracy and Automation

Sohar Health boasts high payer-by-payer accuracy (>90%) and a high rate of automation (>95%) in its processes. This level of precision and automation helps in streamlining operations, reducing manual efforts, and enhancing overall efficiency.

Cost-Effective Pricing

The platform offers a cost-effective pricing structure, starting at $0.30 per eligibility request, with potential discounts based on usage volume or specific agreements. This makes it an attractive solution for behavioral health companies looking to optimize their operations and revenue.

Benefits

  • Increased Revenue: By improving coding accuracy and reducing claim denials, Sohar Health helps behavioral health companies generate more revenue.
  • Enhanced Patient Intake: The platform increases the eligible patient population by swiftly determining patient eligibility.
  • Reduced Manual Operations: Automation of manual workflows reduces the time spent by coding teams, allowing them to focus more on patient-centric activities.
  • Improved Patient Care: By allocating more resources to patient care, Sohar Health contributes to better patient outcomes and a holistic approach to healthcare delivery.
In summary, Sohar Health is a transformative SaaS platform that empowers behavioral health companies through its API-based solution, AI-powered medical coding, and accurate eligibility verification. By addressing long-standing challenges in the industry, Sohar Health enables these companies to enhance their operational efficiency, increase revenue, and provide superior patient care.

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