Last updated: 2026-08-30
Sohar Health is a Y Combinator backed API for healthcare insurance-eligibility verification, founded in 2023 by physician Ashish Mandavia and engineer Lucas Gordon. It reports a 6-second median verification latency and backs uncertain cases with its own clinical-operations team, serving telehealth customers such as Talkiatry.
About Sohar Health
Sohar Health is a New York based, Y Combinator backed (Summer 2023) startup founded by physician Ashish Mandavia and engineer Lucas Gordon, offering an API-first insurance eligibility and revenue cycle automation platform for healthcare providers. The company reports running more than 5 million eligibility verifications a year, with its Verification product resolving checks at an accuracy rate it says beats the 70-80% typical of manual staff processing. The platform is four products behind one API. Discovery locates a patient's insurance from basic demographic details alone, no insurance card needed. Verification runs real-time eligibility and benefits checks fast enough to complete before a scheduled visit. Network Status flags whether a provider is in-network or out-of-network for a given patient. Cost Estimate turns the verified benefits data into a patient-facing price before the visit. A human clinical-operations team backs up the automated checks on complex cases. Sohar targets outpatient clinics, specialty practices and digital health platforms, especially behavioral and mental health telehealth companies; named customers on its site include Talkiatry, Rula, Headway and Mindful Health Solutions. It connects via a REST API with OAuth 2.0 authentication, sandbox and production environments, and webhook event delivery, plus direct connectors for systems such as Athena Health, AdvancedMD, Elation, Healthie, Salesforce and eClinicalWorks. Sohar publishes no self-serve pricing; access is demo-gated and quoted per provider. The company states clients see a 12% increase in patient conversion and an 8x return on investment within a year of adopting the Discovery and Verification products. Sohar raised a seed round in March 2025 led by Kindred Capital, with Y Combinator, Rebel Fund and Concept Ventures also participating, following its Summer 2023 YC batch.
Pricing
No public pricing. Every plan (Discovery, Verification, Network Status, Cost Estimate) is quoted per provider after a demo call; there is no self-serve checkout, published starting price, or free trial.
Key Features
- Insurance Discovery: Locates a patient's coverage using only name, date of birth and state, no insurance card required, matching 60% of the time across all payers with a 12.4-second average latency.
- Real-Time Eligibility Verification: Runs live benefits checks at 96% reported accuracy with a 6-second median latency, batching up to 200 checks in a single API call.
- Network Status Check: Flags in-network versus out-of-network status in real time; Sohar reports a 9% reduction in claim denials from catching mismatches before a visit.
- Cost Estimate: Converts verified benefits data into a transparent, patient-facing price estimate before the appointment.
- Payer-Response Normalization: Maps each payer's raw eligibility response into standardized plan names and types, the same normalized data Network Status depends on to work consistently across Sohar's full payer network.
- EHR and CRM Connectors: Ships direct integrations for Athena Health, AdvancedMD, Elation, Healthie, Salesforce and eClinicalWorks, plus SFTP and webhook delivery for custom workflows.
- Manual Verification Backup: A clinical-operations and insurance team manually resolves the eligibility checks the automated pipeline cannot confidently complete.
Pros
- Sohar reports its automated checks beat the 70-80% accuracy baseline typical of manual eligibility review, a claim not yet confirmed by a third-party reviewer.
- Sohar states an 8x return on investment for clients that adopt Discovery and Verification, a steep claimed payback for revenue-cycle automation software.
- Named enterprise customers (Talkiatry, Rula, Headway, Mindful Health Solutions) are all telehealth-scale behavioral health platforms, real-world evidence the product handles high volume.
Cons
- No published pricing; every plan is demo-gated and quoted per provider, so a small practice cannot get a cost estimate before talking to sales.
- Discovery still fails to match coverage for roughly 4 in 10 patients across all payers, so manual insurance lookup remains necessary even with the product turned on.
- No G2, Trustpilot, or Capterra review presence was found at the time of this listing, so the accuracy and ROI figures currently rest on Sohar's own reporting rather than independent verification.
Data Handling
- Compliance
- AICPA SOC trust badge displayed on Sohar's site footer (specific SOC report type not labeled in text)
Frequently Asked Questions
What does Sohar Health actually cost in 2026?
Sohar Health does not publish plan prices. Access to Discovery, Verification, Network Status and Cost Estimate is quoted per provider after a demo call, and the price typically reflects verification volume and which products are turned on. There is no self-serve checkout or published starting price.
Can you use Sohar Health without paying?
No. Sohar Health lists no free tier or free trial on its site; every plan requires a sales conversation and a signed contract before you get API access. Providers evaluating the product typically start with a demo and a sandbox environment for testing before committing.
What are Sohar Health's closest competitors?
Stedi and Availity both offer real-time eligibility checks built on broader healthcare EDI and clearinghouse infrastructure, useful if you need claims submission beyond eligibility. pVerify and maxRTE compete more directly on insurance discovery and benefits verification for smaller practices. Nirvana Health targets a similar behavioral-health customer base to Sohar's named clients.
How does Sohar Health compare to Stedi in 2026?
Stedi is a broader healthcare EDI platform covering claims submission, remittance and eligibility as one clearinghouse API, while Sohar Health focuses narrowly on the front-end discovery, verification, network-status and cost-estimate workflow before a claim is filed. Sohar backs uncertain verification cases with its own clinical-operations team, a manual-review layer Stedi's more infrastructure-focused API does not offer.
How do you set up Sohar Health?
You start by booking a demo through Sohar's site, since there is no self-serve signup. Once onboarded, Sohar provides OAuth 2.0 API credentials and a sandbox environment with documented test payer values so your team can integrate the REST API and webhook events before moving to production.
Top Alternatives
- Intelligence Factory: Pick Sohar Health if you need a real-time front-end eligibility and coverage-discovery API; pick Intelligence Factory if your priority is compliance and audit documentation for remote care billing.
- Framewise Health: Pick Sohar Health for pre-visit insurance verification; pick Framewise Health if your gap is post-discharge patient communication, not eligibility checks.
- Readily: Pick Sohar Health if you are a provider verifying patient coverage; pick Readily if you are a payer needing AI-drafted policy and audit-evidence tooling.