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Verification

Verification

Stop losing revenue to preventable denials

Real-time eligibility and benefits verification. Confirm coverage and pull precise benefit data before the visit

Live at intake
Sohar result

Verification

Active

Copay

$30

Coinsurance

20%

Deductible left

$1,250

8x

ROI within twelve months

Built alongside teams improving access to care
96%
verification accuracy
15M+
eligibility requests a year
95%+
benefits accuracy
8x
ROI within twelve months
Where it fits

Where the platform starts

Verification is the foundation. Discovery finds coverage when it’s unknown. Network Status and Cost Estimate both build on Verification’s benefit data to show in-network status and patient cost before the visit

The business problem

Manual eligibility requests don’t scale

41%

of providers now report claim denial rates of 10% or higher, up from 38% the year before

Prior year
38%
Now
41%
1 in 2

providers cite missing or inaccurate claim data as the top cause of denials

Close behind

Both are front-desk problems, not billing problems

Authorization issues
Incomplete registration data

Source: Experian Health, 2025 State of Claims Survey

The outcome

Eligibility and benefits, confirmed in seconds

Front desk team member confirming a patient’s coverage at check-in
Answered before the visit
Before

Coverage confirmed by phone or portal, one patient at a time. Days, not seconds, to get an answer. Carve-outs and specialty billing codes: easy to miss

With Sohar
After

Coverage and precise benefits confirmed in seconds, before the patient’s visit, not after a denial

Core capabilities

The benefits your team actually uses

01

Precise benefit data

Copay, coinsurance, and deductible across payers and specialties

Copay
$30
Coinsurance
20%
Deductible
$2,500
02

Real-time or batch

Verify at intake, or refresh ahead of recurring visits

Real-time
At intake, on demand
Live
Batch
Before recurring visits
Scheduled
03

Automatic carve-out detection

TPAs and MCOs identified without manual lookup

Health plan
Behavioral health carve-out
TPA or MCO identified
04

Built to scale

Handles high call volumes and integrates with your EHR / PMS

EHR / PMS
Customer proof

Cost down. Conversion up

Customer result

1,000hrs

Reduction in manual operations work after Rula integrated Discovery, Verification, and Network Status into its intake flow

Customer result

18%

Increase in patient conversion after Talkiatry integrated Verification and Discovery into its intake workflow

Security

Built for sensitive data

Security your IT team will ask about, answered before they ask

AICPA SOC 2
SOC 2 Type II
Independently audited security controls
AICPA SOC 2
HIPAA compliant
Built to protect patient health information
BAAs signed
Business associate agreements in place

Verification

Frequently Asked Questions

How fast is a Verification request?

In seconds, fast enough to confirm coverage while the patient is still at the front desk.

How accurate is the benefits data?

Verification accuracy is 96% on copay, coinsurance, and deductible details across payers and specialties.

Does Verification handle behavioral health carve-outs?

Yes. Verification identifies carve-outs, TPAs, and MCOs (for example, Carelon BH and Magellan Health) with a 93% pick-up rate, reducing denial risk from missed routing.

Does Verification work with our EHR or practice management system?

Yes. The Verification API integrates with your EHR or practice management system.

Can we run requests in real time and in batch?

Both. Verify on demand at intake, or schedule batch runs to refresh eligibility ahead of recurring visits.

How does Verification relate to Sohar's other products?

It's the foundation. Discovery finds coverage when it's unknown. Network Status and Cost Estimate build on Verification's benefit data to show in-network status and patient cost before the visit.

See Verification in action

Show us where coverage questions, manual work, or cost uncertainty slow down intake. We’ll show you how Sohar can help your team get answers earlier and move more patients into care