Sohar Health Secures $3.8M to Transform Patient Care Access

Sohar Health Secures $3.8 Million Funding for Healthcare Innovation

Sohar Health, an innovative AI-driven provider for eligibility determination and Verification of Benefits, has received a significant boost with a $3.8 million funding round. This funding, primarily led by Kindred Capital, aims to break down persistent barriers to healthcare that have historically burdened patients and providers alike.

The Challenge of Healthcare Access

In many cases, patients face obstacles before even leaving home for essential healthcare services. A parent attempting to schedule a critical therapy appointment may discover that their child's coverage cannot be verified, leading to frustration. Similarly, individuals managing chronic pain often encounter excessive back-and-forth when trying to find an in-network specialist, all while risking denial due to bureaucratic hurdles.

Statistics Highlighting Denial Issues

Such challenges are not uncommon. Statistics reveal that a staggering 45% of insured, working-age adults have received medical bills for services they believed were covered. Alarmingly, about six out of ten individuals report postponing necessary treatment due to denials. These operational bottlenecks often take a toll not only on healthcare providers’ revenues but also on patients' health.

The Value of Real-time Verification

To remedy these issues, Sohar Health is enhancing the healthcare industry's "front door" by introducing AI-powered eligibility and benefits verification. The company is dedicated to streamlining the process of confirming coverage, thus reducing both administrative burdens for providers and delays for patients seeking timely care.

Advancements in Technology

The cornerstone of Sohar’s offering, the verification product, excels in providing:

• Real-Time Eligibility Checks: Users can expect a median response time of only six seconds, with 90% of checks completed within half a minute. This improvement is designed to integrate smoothly into existing patient intake processes.
• High Accuracy: Achieving a stellar 96% accuracy rate, the technology ensures vital benefits data, including copays and coinsurance details, to minimize claim denials.
• Scalable API Capabilities: The system supports up to 1,000 verification checks in a single API call, keeping patients covered from appointment scheduling through to consultation.

Empowering Healthcare Providers

Ashish Mandavia, co-founder and CEO of Sohar Health, stated, "We envision a future for healthcare that is not only seamless but also prioritizes patient needs. This funding will enable us to develop a comprehensive suite of products aimed at transforming how healthcare organizations manage insurance workflows, focusing on patient care instead of administrative tasks."

Kickstarting Better Healthcare Experiences

The overarching goal is to ensure that patients receive the in-network care they need, enhancing revenue capture for healthcare providers simultaneously. The solutions from Sohar Health currently support an array of leading organizations, ranging from behavioral health providers to primary care and telehealth platforms, thereby addressing the longstanding issues that have impeded access to care.

Addressing Healthcare Infrastructure

Leila Zegna, Founding Partner at Kindred Capital, pointed out that revitalizing healthcare isn't simply about introducing new treatments but rather about overhauling the underlying systems that allow care to be delivered effectively. Ensuring healthcare professionals can navigate the complexities of insurance verification without unnecessary delays is essential.

Building Trust in the System

The solutions developed by Sohar Health have already gained traction among many healthcare providers, effectively performing millions of verifications annually. As Zegna noted, such advancements are critical in creating an accessible, efficient healthcare landscape that can withstand the complexities of modern patient needs.

About Sohar Health

Founded by a physician and an engineer in 2023, Sohar Health is at the forefront of transforming how healthcare organizations manage insurance claims. The company invests in technology and a deep understanding of patient benefits coverage, achieving over 90% accuracy in their checks, with most results provided in seconds. Sohar Health seeks to empower both patients and providers by redefining healthcare interactions.

Frequently Asked Questions

What is the main purpose of Sohar Health's funding?

The funding aims to enhance the eligibility verification process to eliminate barriers in healthcare access for both patients and providers.

How fast can Sohar Health verify insurance coverage?

Sohar Health's technology can provide eligibility verifications with a median response time of just six seconds.

What impact do coverage denials have on patients?

Coverage denials can lead to delayed treatments, increased frustration, and financial burdens, often resulting in worsening health conditions.

Who leads the funding round for Sohar Health?

Kindred Capital led the funding round, demonstrating confidence in Sohar Health's innovative solutions for healthcare.

What distinguishes Sohar Health's verification product?

The product offers high accuracy in verification results, real-time checks, and scalable API capabilities for healthcare providers.

About The Author

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