What You Ought to Know:
– Sohar Well being, a supplier of eligibility willpower and Verification of Advantages (VoB), and Rula Well being, a nationwide behavioral healthcare supplier group introduced a partnership to streamline the connection between sufferers searching for psychological well being care and the clinicians offering that care.
– Rula has built-in Sohar’s Verification and Community Standing merchandise into its affected person consumption course of, eliminating insurance-related bottlenecks and enhancing care entry for 1000’s of sufferers nationwide.
Automating Insurance coverage Verification for Seamless Care Entry
Sohar’s AI-powered instruments guarantee correct, real-time eligibility knowledge and in-network standing on the earliest levels of affected person onboarding, successfully closing the hole between sufferers and the care they want. For Rula, this interprets to decreased administrative overhead, minimized protection errors, and the flexibility for care groups to give attention to delivering well timed, efficient behavioral well being help.
For the reason that partnership’s launch, Sohar has elevated Rula’s automation by 30% and boosted advantages knowledge accuracy to over 95% throughout its payers. The collaboration has additionally decreased the Rula staff’s time spent on handbook insurance coverage verification processes by 1,000 hours per week.
Sohar’s Verification product permits Rula to robotically affirm a affected person’s insurance coverage eligibility and behavioral well being protection with excessive accuracy, with out handbook work. With the Community Standing product, Rula can immediately decide whether or not a supplier is in-network for a affected person, enabling extra exact care matching and quicker appointment scheduling whereas minimizing sudden out-of-network payments and shock prices. Rula has additionally applied Sohar’s automation throughout 4 key workflows: real-time eligibility checks throughout registration, preliminary VoB checks, portal-triggered VoB validations, and month-to-month insurance coverage change detection to stop billing points earlier than they come up.
“At Rula, we’re dedicated to eradicating boundaries that forestall individuals from getting the psychological well being care they want. Sohar permits us to simplify the advanced insurance coverage verification course of and be sure that our sufferers get matched to the appropriate supplier quicker and with larger confidence,” mentioned Mark Khavkin, CFO of Rula Well being.
