Sohar Health
Sohar Health is an AI-powered insurance verification API platform serving U.S. healthcare providers, with a primary focus on mental and behavioral health organizations. Its four products automate eligibility checks, coverage discovery, network status, and cost estimation in real time.
- Company typePrivate
- Founded2023
- HeadquartersNew York, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What Sohar Health does
Sohar Health is a privately held, AI-powered insurance verification platform founded in 2023 by physician Ashish Mandavia (CEO) and engineer Lucas Gordon (CTO). The company automates front-end revenue cycle management workflows for U.S. healthcare providers, with a primary vertical focus on mental and behavioral health organizations. Named customers include Talkiatry, Rula, Mindful Health Solutions, Tava Health, Headway, Two Chairs, Uplift, and Behavioral Health (BH) services, all enterprise-scale behavioral health operators. The company is incorporated in Delaware as Sohar Health, Inc., headquartered in New York, and maintains a wholly owned subsidiary, Sohar Health Ltd.
The platform is built on a REST API architecture with OAuth 2.0 authentication and comprises four core products: Verification (real-time eligibility and benefits checks returning copay, coinsurance, deductible, and limitations), Discovery (AI-driven insurance identification using only demographics such as name, date of birth, and state), Network Status (in-network/out-of-network determination), and Cost Estimate (transparent pricing calculations combining coverage data with CPT codes). Supporting infrastructure includes a Flows workflow engine for chaining APIs into multi-step automations and a Svix-based webhook system for asynchronous event delivery. The platform reports 96% verification accuracy, a median latency of 6 seconds, and over 5 million annual verification checks. Sohar is HIPAA-compliant and SOC 1 certified, and integrates with EHR and practice management platforms (Healthie, Elation, Athena Health, AdvancedMD) via the Keragon healthcare automation platform, alongside revenue cycle (Candid Health), CRM (Salesforce), and intake (JotForm, TypeForm) connectors.
Sohar generates revenue through API usage-based pricing under a quote-based enterprise model, operating an API-first go-to-market motion with direct enterprise field sales and channel partnerships. The company has raised approximately $3.8 million in seed funding led by Kindred Capital with participation from Y Combinator, Rebel Fund, and Concept Ventures (March 2025), and employs 1-10 people. In 2025, Sohar received recognition from CB Insights (Digital Health 50) and Becker's Hospital Review (2025 RCM Companies to Watch), reflecting growing market traction in the behavioral health revenue cycle management space. Note: external funding-round data conflicts with internal sources on round dates and amounts ($3.2M and $632K pre-seed rounds in 2023); internal sources citing the $3.8M March 2025 seed are treated as more specific and are preferred.
Sohar Health firmographics
Firmographics- Name
- Sohar Health
- Legal name
- Sohar Health, Inc.
- Website
- https://soharhealth.com
- Company type
- Private
- Founded year
- 2023
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Sohar Health is an AI-powered insurance verification API platform serving U.S. healthcare providers, with a primary focus on mental and behavioral health organizations. Its four products automate eligibility checks, coverage discovery, network status, and cost estimation in real time.
- Ownership category
- akta.pro rank
Sohar Health industry classification
Industry- Product category
- Healthcare Revenue Cycle Management Software
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Eligibility & Benefits Verification (HLACACAD)
- akta.pro secondary industries
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN)
Keywords
Where Sohar Health is headquartered
LocationHeadquarters
- HQ city
- New York
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Sohar Health business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- API Platform Services: Sohar Health generates revenue through API usage fees for insurance verification, eligibility checks, and benefits determination. The platform processes over 5 million verification checks annually for healthcare providers, suggesting a usage-based or volume-based pricing model.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Usage-based | Monthly | Enterprise tier for large healthcare organizations |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels6 records
Sohar Health product offering
Product offeringCore offering
Sohar Health provides an AI-powered insurance verification API platform for healthcare providers, focused on behavioral and mental health organizations. The platform delivers four core products — Verification, Discovery, Network Status, and Cost Estimate — that automate real-time eligibility checks, insurance discovery without member ID, in/out-of-network determination, and transparent patient cost estimation. The REST API integrates with EHRs, practice management systems, and RCM platforms to streamline patient intake and reduce claim denials.
Product overview
Sohar Health is an AI-powered healthcare verification platform offering four integrated API products: Verification (real-time eligibility and benefits checking), Discovery (AI-driven insurance coverage identification without member ID), Network Status (in-network/out-of-network determination), and Cost Estimate (transparent patient cost calculations). The platform achieves 96% accuracy with median latency of 6 seconds, processing over 5 million verifications annually and delivering 8x ROI for clients within twelve months. Built on REST APIs with OAuth 2.0 authentication, webhooks, and workflow orchestration capabilities via Flows.
Differentiator
Problem solved
Functional benefit
Products and services
- Verification Real-time insurance eligibility verification API that confirms patient benefits and coverage status, returning detailed benefits information including copay, coinsurance, deductible, and limitations within seconds. Used by healthcare providers to streamline intake workflows and reduce manual verification effort.
- Discovery AI-powered insurance discovery product that identifies a patient's active coverage using only basic demographics (name, date of birth, state) without requiring an insurance card or member ID upfront, delivering coverage verification and eligibility results within seconds. Used by healthcare providers to streamline patient intake.
- Network Status API endpoint that determines whether a patient's chosen provider is in-network or out-of-network for a given payer plan, based on payer relationships and provider group configurations. Used to reduce unexpected patient costs and improve satisfaction.
- Cost Estimate Cost estimation API that provides transparent upfront pricing by combining verified coverage data, CPT codes, and contracted rates to give patients a clear understanding of their financial responsibilities. Supports price transparency compliance for healthcare providers.
Quantifiable outcome
- 96% accuracy in insurance eligibility verifications
- +6 more outcomes
Companies that use Sohar Health
Customer profileNamed customers4 records
Segments3 records
Ideal customer profiles2 records
Sohar Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration11 records
AI capability2 records
Feature6 records
Sohar Health partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered strategic and integration_partner.
- Tava HealthstrategicPartnership announced January 2026 to improve insurance verification for virtual mental health services. Collaboration enables real-time eligibility checks, reducing errors and streamlining access to care. Integration since August 2023 has significantly reduced intake failures.
- Mindful Health SolutionsstrategicPartnership to implement eligibility verification system across three states, improving accuracy and efficiency in insurance eligibility and patient intake. Achieved 94.17% automation rate, reducing manual checks.
- Keragonintegration_partnerHealthcare automation platform that provides HIPAA-compliant integrations. Sohar is available as an integration through Keragon's partner ecosystem.
- Healthieintegration_partnerAll-in-one practice management platform and EHR. Sohar integration enables insurance verification within the Healthie platform for health and wellness providers.
- Athena Healthintegration_partnerLeading cloud-based EHR and practice management system. Sohar integration available through Keragon-powered connection.
- Candid Healthintegration_partnerRevenue cycle automation platform. Sohar integration helps simplify medical billing processes for healthcare providers.
Scale indicators9 records
Recent moves6 records
Expansion highlights5 records
Sohar Health competitors and assessment
Company assessmentDirect peers
- Availity: Leading payer-provider data exchange platform offering real-time eligibility, benefits verification, and prior authorization. Directly competes with Sohar in the same eligibility-verification workflow, but at much greater scale and with deeper payer connectivity across the U.S. healthcare system.
- Waystar: Public cloud-based revenue cycle management platform with eligibility verification, claims management, and patient estimation capabilities. Overlaps directly with Sohar's eligibility and cost-estimate APIs for hospitals and large ambulatory providers.
- Experian Health: Healthcare division of Experian offering eligibility verification, patient estimates, and identity/coverage matching. Competes head-on with Sohar's Verification and Discovery products, with the added advantage of Experian's broader consumer identity data assets.
- Phreesia: Public patient intake and engagement platform that includes eligibility verification and cost estimation. Mindful Health Solutions reported a 25% accuracy improvement after switching from Phreesia to Sohar, evidencing direct competition for patient intake verification workflows.
- Candid Health: AI-powered revenue cycle automation platform for digital health providers, including eligibility checks and claims submission. Direct competitor in the digital health and behavioral health RCM stack, and also a current Sohar integration partner.
- Eligible (Stripe): Stripe-acquired eligibility and benefits verification API that competes with Sohar's Verification product across digital health and broader ambulatory markets, now backed by Stripe's developer ecosystem.
Emerging players
- Inbox Health: Patient billing and engagement platform with eligibility and benefits verification capabilities targeting ambulatory and specialty providers. Overlaps with Sohar in patient-intake verification, particularly for smaller practices.
- AKASA: AI-driven RCM automation platform for hospitals and health systems, including authorization and eligibility workflows. Competes in adjacent RCM AI capabilities rather than real-time eligibility, but targets similar buyers.
- Olive AI: Healthcare AI company offering RCM automation including eligibility verification. Historically targeted large hospital systems, providing a reference point for how AI-native RCM players have scaled — and struggled — in this market.
Others
- Keragon: Healthcare workflow automation platform that hosts Sohar as an integration. Acts as a distribution channel and ecosystem partner rather than a competitor, but also represents a dependency given multiple Sohar EHR integrations are 'Powered by Keragon.'
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
Sohar Health social profiles
Digital presenceSohar Health compliance and trust
Trust signalCompliance2 records
Sohar Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Sohar Health leadership team
Management profileNumber of profiles
Profiles2 records
Sohar Health subsidiaries and ownership
Company hierarchySubsidiaries1 record
Sohar Health funding detail
Funding detailFunding overview
Funding rounds3 records
Investors8 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Sohar Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Sohar Health
What does Sohar Health do?
Sohar Health provides an AI-powered insurance verification API platform for healthcare providers, focused on behavioral and mental health organizations. The platform delivers four core products — Verification, Discovery, Network Status, and Cost Estimate — that automate real-time eligibility checks, insurance discovery without member ID, in/out-of-network determination, and transparent patient cost estimation. The REST API integrates with EHRs, practice management systems, and RCM platforms to streamline patient intake and reduce claim denials.
Is Sohar Health a public or private company?
Sohar Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Sohar Health founded?
Sohar Health was founded in 2023. It employs 1 to 10 people.
Where is Sohar Health based?
Sohar Health is headquartered in New York, United States, in the North America region.
How does Sohar Health make money?
One revenue line is on record: API Platform Services.
Who are Sohar Health's main competitors?
Direct peers on record are Availity, Waystar, Experian Health, Phreesia, Candid Health and Eligible (Stripe). Emerging players are Inbox Health, AKASA and Olive AI. Keragon is listed as an others.
Does Sohar Health have an API?
Yes. Sohar Health provides a REST API with OAuth 2.0 bearer token authentication for healthcare eligibility verification and benefits checking. The API supports both production and sandbox environments. Key endpoints include: Verification (create/get), Discovery (create/get), Network Status, Cost Estimate, Patient management, Provider management, Payer lookup, Webhooks, and Flows (workflow orchestration). API responses are JSON-encoded with standard HTTP response codes. Webhooks use Svix for secure delivery with HMAC signature verification. Developer documentation is at docs.soharhealth.com.
What industry is Sohar Health in?
Sohar Health's product category is Healthcare Revenue Cycle Management Software. Its primary akta.pro industry code is HLACACAD, Eligibility & Benefits Verification, with a secondary code of HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment). Its NAICS code is 524292 and its SIC code is 8000.