Sohar Health
API-first AI eligibility verification and coverage discovery
Our take
Sohar Health is an API-first eligibility and benefits verification company founded in 2023 by physician Ashish Mandavia and engineer Lucas Gordon, and backed by Y Combinator (S23 batch). Its AI determines whether a patient is covered, extracts benefit details, and discovers active coverage when patients cannot provide it, returning results in seconds so intake teams and digital front doors can convert patients without manual phone calls to payers. The natural buyer is a behavioral health group, telehealth company, or digital health platform with engineers who want verification inside their own product rather than a separate portal.
The company raised a $3.8M seed round in March 2025 led by Kindred Capital with participation from Y Combinator, General Catalyst, and Character. Named customers include Talkiatry, Monument, LunaJoy, Finni Health, and Legion Health, which reflects its center of gravity in behavioral health and virtual care. It reports a median verification response time of about 6 seconds, 96% benefits accuracy, and bulk processing of up to 1,000 verifications per API call. It is a young vendor, so buyers should treat it as a fast-moving specialist rather than an enterprise suite.
What it does
- Real-time eligibility checks, median response about 6 seconds
- AI-extracted benefit details, reported 96% accuracy
- Coverage discovery for patients without insurance details
- Bulk API supporting up to 1,000 verifications per call
- Configurable rulesets mapped to each payer and plan
Where it's strong
- Developer-first design makes it fast to embed verification directly in a digital intake flow.
- Strong fit for behavioral health, where benefit rules are messy and the customer list proves it.
- Small company means direct access to the founding team and quick iteration on payer edge cases.
What buyers should weigh
- Early stage with a $3.8M seed round, so weigh vendor longevity for anything mission critical.
- Customer base skews to behavioral health and telehealth; less proven in hospitals or complex specialty settings.
- Buyers without engineering resources will get less value from an API-first product.
Latest
Raised a $3.8M seed round led by Kindred Capital in March 2025, with Y Combinator and General Catalyst participating.
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