Sohar Health and Talkiatry Expand Access to Mental Health Care by Automating Insurance Eligibility Process

03.04.25 15:00 Uhr

  • Behavioral health providers that streamline the insurance verification process improve the patient experience and increase access to life-changing care

  • Sohar and Talkiatry partnered to automate the telepsychiatry provider's insurance eligibility system, pushing its verification accuracy to 95% by reducing errors stemming from patients manually entering incorrect carrier information

NEW YORK, April 3, 2025 /PRNewswire/ -- Sohar Health, an AI-driven eligibility determination and Verification of Benefits (VoB) provider, today announced that its partnership with Talkiatry further enhanced the telepsychiatry leader's patient experience through the automation of its insurance verification process. Sohar's Eligibility Automation technology is specifically built for behavioral health providers. Working hand-in-hand, Sohar and Talkiatry improved claim accuracy to 95%.

Sohar Health (PRNewsfoto/Sohar Health)

Patients seeking behavioral health care often struggle to find prompt, covered treatment due to unreliable provider directories and insurance denials. Providers work to streamline the process by accurately verifying health insurance early in the care journey. By confirming patient coverage for services, which includes determining copays and deductibles, providers hope to create a better patient experience with fewer surprise bills.

However, insurance eligibility and verification can be time-consuming, manual, and prone to human error. Six in 10 adults experience problems when using their insurance because coverage is difficult to understand, resulting in denied claims. To solve the issue, health organizations have addressed the symptom but not the core problem, spending an estimated $19.7 billion annually to overturn denied claims. The result has irritated patients left endlessly pursuing covered care and providers with fewer people to treat.

Talkiatry improves access to high-quality mental health care nationwide by providing in-network psychiatry and therapy services via virtual appointments. To enhance its technology-driven patient experience, Talkiatry partnered with Sohar to help automate its insurance verification process. Sohar's API helped increase claim acceptance rates by confirming coverage automatically, and boosted the accuracy of a patient's estimated cost-sharing responsibilities before they received care. 

"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."

To streamline Talkiatry's eligibility verification process, Sohar implemented two products from its Eligibility Automation suite to meet Talkiatry's unique needs and requirements. These products are Discovery, which helps companies determine a patient's health insurance coverage without asking them to share their provider upfront, and Verification, which reveals whether a patient is eligible for services and verifies the nature of their benefits. The partnership involved high-touch collaboration between Talkiatry's engineering and product teams and Sohar's Chief Technology Officer to ensure seamless integration. Working together, the partners built capabilities that allowed Talkiatry to swiftly determine a patient's health insurance coverage and accurately estimate copays without asking individuals to share their carrier information upfront.

"We believe that patients searching for psychiatric care should receive timely treatment, and speeding insurance eligibility and verification is foundational to that mission," said Robert Krayn, co-founder and CEO of Talkiatry. "Working closely with Sohar's team, we combined efforts to strengthen our insurance accuracy, and more importantly, our patient experience, so those receiving treatment from Talkiatry can focus on getting better."

For more information, visit: soharhealth.com/client/talkiatry.

About Sohar Health
Founded by a physician and an engineer in 2023, Sohar Health is an AI-driven eligibility determination and Verification of Benefits (VoB) provider that's redefining how healthcare organizations navigate the complex world of insurance claims. The team develops specialty-specific APIs to help providers reduce insurance claims denials, improve pricing transparency, and increase access to care for patients across the US. By harnessing the power of technology and uniquely understanding patients' benefits coverage, Sohar Health's eligibility service achieves above 90% accuracy, with around 95% of checks being returned within seconds. Learn more at www.soharhealth.com and follow us on LinkedIn and X.

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SOURCE Sohar Health