Sohar Health, a specialist in AI-driven eligibility determination and Verification of Benefits (VoB), has established a strategic partnership with Talkiatry to automate and enhance insurance verification processes. Sohar's Eligibility Automation technology, specifically engineered for behavioral health providers, has already demonstrated significant results, with claim accuracy rates now reaching 95%.

The collaboration addresses critical challenges in today's healthcare landscape, where patients seeking mental health services routinely face obstacles including unreliable provider directories and unexpected insurance denials. These barriers often delay or prevent access to timely and effective treatment. Understanding this reality, providers recognize the importance of verifying insurance coverage early in the patient journey, including determining copays and deductibles, to minimize surprise bills and enhance patient satisfaction.

Traditional insurance eligibility verification methods remain largely manual, time-consuming, and prone to human error. Research indicates that six in ten adults struggle to understand their insurance coverage, contributing to denied claims. Healthcare organizations consequently spend an estimated $19.7 billion annually attempting to overturn these denials, creating frustration throughout the healthcare ecosystem.

Talkiatry, focused on improving nationwide access to quality mental healthcare through virtual appointments, sought to enhance its technology-driven patient experience by implementing Sohar Health's solutions. The partnership integrated two key products from Sohar's Eligibility Automation suite:

• Discovery: This tool enables companies to determine a patient's health insurance coverage without requiring them to disclose their provider upfront.

• Verification: This component verifies patient eligibility for services and details the nature of their benefits.

The implementation involved close collaboration between Talkiatry's engineering and product teams and Sohar's Chief Technology Officer. This partnership has developed capabilities allowing Talkiatry to quickly determine a patient's insurance coverage and accurately estimate copays without requiring individuals to initially share their carrier information.

"When people seek mental health support, knowing whether they are covered by insurance or not can be the difference between seeing a psychiatrist or giving up on finding treatment. We must make that process as simple as possible to ensure our loved ones quickly connect with the care they need," said Ashish Mandavia, M.D., co-founder and CEO of Sohar Health. "Through our focus on partnering with future-forward, tech-enabled organizations like Talkiatry, and our easy-to-use, consumer-friendly APIs, we're able to reduce insurance-related barriers so patients can concentrate on getting the care they deserve."

The integration of Sohar's API has significantly increased claim acceptance rates by automatically confirming coverage and accurately estimating patient financial responsibilities before care delivery, addressing a critical pain point in the healthcare journey.

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