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Real-Time Eligibility
REAL-TIME ELIGIBILITY

Stop losing time to manual eligibility requests

Real-time eligibility insights: accurate, fast, and automatic — powered by Discovery and Verification

96%
verification accuracy
15M+
eligibility requests a year
95%+
benefits accuracy
8x
ROI within twelve months
THE PROBLEM

Most denials start before the visit

Registration and eligibility errors are a top cause of denied claims. Nearly all are preventable

11.8%

of claims denied on first submission

32%

of denials trace to incomplete or inaccurate registration data

86%

of denials are avoidable

$8.57 vs $2.00

manual vs electronic eligibility request

Appointment
Tue · 10:00
Patient
R. Patel
Visit
New patient · Therapy
Verification
Not run
Skipped
Payer response
Available Mon · 9:14
1
Policy status
Terminated 08/31
Lapsed
A lapsed policy
2
Group number
4471 → 4490
Changed
A changed group number
3
Insurance details
Not on file
Missing
Missing insurance details
1
A lapsed policy
2
A changed group number
3
Missing insurance details
WHY SOHAR

Eligibility that answers the question you actually asked

Not is the policy "active". But whether this service, in this setting, is covered, and what the patient will owe. In seconds, inside your intake

1

Benefits for the service, not just the plan

Therapy, psychiatry, telehealth, in person. Carve-outs and plan exceptions handled in the response, not by your staff afterward

96%+
benefits accuracy across highest-volume payers
2

Fast enough to live inside registration

9 in 10 requests return in under 20 seconds. Pending, ineligible and input error come back as different results, so your flow knows what to do next

19s
P90 verification time
3

Checked against what the payer actually paid

Where remittance data is available, each verification is compared with the adjudicated claim. Discrepancies fix the payer rule. Most eligibility tools never find out when they were wrong

Daily
feedback loop, not monthly
4

Built for when the request fails

No member ID? Discovery finds coverage from a name, date of birth and state. Slow payer? The request pends and intake continues. Multiple payer connections, retries built in

<2%
of requests need manual handling
8:1
ROI within 12 months
1,000hrs
of manual work saved per week
90%
less engineering maintenance
Tava Health

"If you are looking for accurate verifications without becoming experts in payer responses to an incredibly vague and challenging set of responses from payers, Sohar is an excellent choice."

Joe Wiggins
Head of Engineering
Joe Wiggins, Head of Engineering at Tava Health

See it on your payer mix

Bring your hardest payers and your failed requests. We will run them