• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

Sohar Health Raises $3.8M for AI-Driven Eligibility Verification Platform

by Fred Pennic 03/28/2025 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

What You Should Know: 

– Sohar Health, an AI-driven provider of eligibility determination and Verification of Benefits (VoB) raises $3.8M in seed funding round led by Kindred Capital, with participation from Y Combinator, General Catalyst, Character, and prominent angel investors, 

– The funding will accelerate Sohar’s mission to eliminate insurance barriers that delay care, burden providers, and leave patients in limbo.

The Problem: Inefficient Insurance Verification:

The healthcare system faces significant challenges in patient onboarding due to outdated systems and manual processes. These inefficiencies lead to:

  • Patients encountering roadblocks in accessing care, such as delayed appointments and denials.
  • A significant number of insured individuals (45%) receiving unexpected medical bills for care they thought was covered.
  • Patients delaying treatment (6 in 10) after insurance denials.
  • Substantial unpaid medical debt in the U.S. (estimated $140 billion).
  • Revenue loss and wasted time for providers, with the average denial costing $118 to reprocess and nearly one in five claims being denied on the first submission.
  • Worsening patient conditions and higher downstream costs due to delayed treatment.
  • Frustration and distrust among patients, particularly vulnerable populations navigating chronic conditions or mental health concerns.

Sohar Health’s AI-Powered Solution

Sohar Health is addressing these issues by rebuilding healthcare’s “front door” with real-time, AI-powered eligibility and benefits verification. Instead of relying on manual workflows and outdated systems, providers using Sohar Health can instantly confirm coverage, reduce administrative overhead, and see more patients. For patients, this translates to fewer delays, fewer denials, and a faster, clearer path to care.

Key features of Sohar’s verification product include: 

  • Real-Time Eligibility Checks: Sohar’s AI achieves a median response time of 6 seconds, with 90% of eligibility verifications completed within 30 seconds, seamlessly integrating into providers’ patient intake workflows.
  • High Accuracy: The platform boasts a 96% accuracy rate in benefits data, including copay and coinsurance information, minimizing claim denials and administrative errors.
  • Bulk API Capabilities: Sohar’s solution allows up to 1,000 verification checks per API call, ensuring patients maintain coverage from appointment scheduling to consultation.

Sohar Health’s AI-powered solutions ensure that patients get connected with the in-network care they need while simultaneously increasing revenue capture for providers. The company’s technology is currently supporting leading behavioral health providers, primary care organizations, and telehealth platforms, effectively removing insurance verification as a barrier to care.

“At Sohar Health, we believe the future of healthcare is seamless, efficient, and patient-focused,” said Ashish Mandavia, M.D., co-founder and CEO of Sohar Health. “With this funding, we are developing a product suite to help healthcare organizations streamline insurance workflows, allowing providers to focus on patient care rather than paperwork. The launch of Verification further strengthens access to care by eliminating administrative friction and improving the patient experience.”

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: Artificial Intelligence

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

 Selecting the Right EMR: A Practical Guide to Streamlining Your Practice and Enhancing Patient Care

Selecting the Right EMR: A Practical Guide to Streamlining Your Practice and Enhancing Patient Care

Featured Interview

Virta Health CEO: GLP-1s Didn’t Kill Weight Watchers, Its Broken Model Did

Most-Read

Health IT Sector Navigates Policy Turbulence with Resilient M&A

Health IT’s New Chapter: IPOs Return, Resilient M&A, Valuations Rise in 1H 2025

PwC Report: US Medical Cost Trend to Remain Elevated at 8.5% in 2026

PwC Report: US Medical Cost Trend to Remain Elevated at 8.5% in 2026

Philips Launches ECG AI Marketplace, Partnering with Anumana to Enhance Cardiac Care with AI-Powered Diagnostics

Philips Launches ECG AI Marketplace, Partnering with Anumana to Enhance Cardiac Care with AI-Powered Diagnostics

WeightWatchers Emerges from Bankruptcy, Launches New Menopause Program

WeightWatchers Emerges from Bankruptcy, Launches New Menopause Program

CMS Finalizes New Interoperability and Prior Authorization Rule

CMS Proposes 2026 Physician Fee Schedule Rule: Boosting Primary Care, Cutting Waste, and Modernizing Payments

Beyond SaaS: How Agent as a Service is Transforming Healthcare Automation

Beyond SaaS: How Agent as a Service is Transforming Healthcare Automation

New Strategies Needed: No Surprises Act and the Challenges for Payors with Provider Data Inaccuracies

Samsung Acquires Xealth to Accelerate Connected Care Vision

Samsung Acquires Xealth to Accelerate Connected Care Vision

AI Dominates Digital Health Investment in First Half of 2025

Rock Health Report: AI Dominates Digital Health Investment in First Half of 2025

Moving Beyond EHRs: What Lies Ahead for Healthcare Digitization?

AI Agents vs. Chatbots: Understanding Agentic AI’s Role in Healthcare

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |