Lower the cost of getting patients to care. Protect the revenue that follows

Start with the work and uncertainty that remain. Can your team get the benefits needed for the service, show a usable patient estimate, resolve network questions, and recover failed requests without a payer call? Compare the incremental value on those workflows against what you already pay for. A focused pilot can establish whether Sohar improves results enough to justify the investment.

Sohar addresses insurance issues that can contribute to denials, including missing coverage, benefit errors, and network discrepancies. The impact should be measured against those specific denial reasons and final claim outcomes. Coding, authorization, timely filing, and other causes still require their own processes. A successful verification is not a guarantee of payment.

Start with request volume, manual review rate, time per task, labor and vendor costs, and the outcomes you want to improve. Pilot a representative set of payers and services. Compare total cost per usable result, then add incremental contribution from additional care where it can be measured. Include integration and ongoing fees, and avoid counting the same recovered patient twice.

Evaluate the fields your team actually uses, including copays, coinsurance, and deductibles. Where matched remittance data is available, compare the original result with the processed claim and investigate discrepancies. Keep the payer mix, timing, and service context consistent enough to make the comparison meaningful.

Agree on a path for missing inputs, payer delays, and incomplete benefit responses during setup. Your team can review exceptions, and optional manual verification support can be scoped for your account. Include that work and its cost in the business case rather than assuming every request will be automated.

You can start with individual or batch requests to assess a defined use case. An API rollout requires coordination with your technical team and setup of provider details, payer mapping, and any network rules or contracted rates needed. Agree on the recheck cadence, ownership of exceptions, and any remittance data connection before expanding.