Increasing Patient Conversion: How Sohar helped Talkiatry Achieve a 12% Increase in Funnel Conversion
Increasing Patient Conversion: How Sohar helped Talkiatry Achieve a 12% Increase in Funnel Conversion
Client Overview
Talkiatry is a national mental health organization offering accessible psychiatry and therapy services through virtual appointments. By working in-network with major insurers, Talkiatry connects patients to licensed psychiatrists who provide evaluations, personalized treatment plans, and medication management. Talkiatry’s approach combines technology and a patient-centered philosophy to make high-quality mental healthcare widely available.
Industry: Behavioral Health
Results
By The Numbers
Challenge
Talkiatry’s insurance verification process had significant manual workflow leading to increased claim denial rates and lower intake conversion rates. These issues increased delays for patient appointments, caused confusion regarding patient financial responsibilities, and contributed to higher patient acquisition costs.
Solution
In our conversations with the Talkiatry team, it became clear that the right solution to their problems would not just create efficiencies in their front-end RCM process, but must also reduce costs and positively affect the patient experience.
TALKIATRY'S Objectives
- Automate and streamline the benefits verification process.
- Improve claim acceptance rates.
- Reduce operational costs tied to manual RCM efforts.
- Enhance patient experience by minimizing delays in the intake funnel.
Sohar provides unmatched expertise in handling behavioral health benefits verification. Our robust understanding of X12 service codes and payer-specific nuances enables accurate mapping of behavioral health carve-outs and Managed Care Organizations. Sohar’s statistical model approach to benefits selection ensures correct benefit information upfront, reducing misinterpretations and errors.
Additionally, our collaboration with digital billing vendor Candid Health allowed the ingestion of adjudicated claims data to adjust payer response interpretations dynamically, improving the accuracy of Talkiatry’s checks over time. This eliminated the need for Talkiatry’s engineering team to manage integrations, offering a seamless solution.
Pain Points
Implications
Key Products Utilized
To meet Talkiatry’s brief, we suggested two products from our Eligibility Automation suite, Discovery and Verification. These products work together to automate real-time eligibility and create operational efficiency.
Implementation
The integration process involved high-touch collaboration between Talkiatry’s engineering and product teams and Sohar’s CTO. Sohar tailored its solutions to address Talkiatry’s specifications, ensuring our Eligibility Automation flow met their requirements.
Despite competing internal priorities at Talkiatry, Sohar adapted its approach, offering flexibility during the onboarding process. While initial access was provided within a day, the full system integration was pushed into production when the benefits data accuracy (i.e. copay, coinsurance) exceeded 90% across all payers and 95% for the key high volume payers.
Solution
In our conversations with the Talkiatry team, it became clear that the right solution to their problems would not just create efficiencies in their front-end RCM process, but must also reduce costs and positively affect the patient experience.
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