On average, 7 out of 10 insurance policies reset at the end of December, which means coverage details shift overnight. Nirvana helps you avoid the frustration of surprise denials and patient confusion by automatically verifying benefits leading up to this reset period with our Annual Benefit Reset feature. Contact your CSM today to ensure you are set up to utilize this game-changing feature.
Nirvana's Annual Benefit Reset dashboard shows total policies resetting, broken down by major payer, with detailed plan data and workflow recommendations.
Improvements
Fewer Errors, Smarter Eligibility Checks:We’ve made several behind-the-scenes upgrades to improve reliability and reduce failures, including:
Smarter Retry Logic
The system now identifies what went wrong in a request–and makes a second attempt behind the scenes with alternative permutations.
Dan Adams isn’t pulling back a result? We’ll try Daniel Adams as well to ensure we’re surfacing correct information as often as possible.
Why it Matters: You’ll continue to see slightly higher success rates and fewer errors in OneVerify and the API, especially with payers that are sensitive to minor demographic mismatches.
More From Our Blog
Why Annual Plan Resets Wreak Havoc in January Job changes, Medicaid churn, and open enrollment chaos are right around the corner. In our latest blog, we outline why Q4 eligibility breakdowns happen–and what your team can do now to stay ahead. Read the full article →
And Remember...
We Have Smart Third Party Administrator (TPA) Detection
We now distinguish between payers (who handle claims end-to-end) and utilization managers (who manage eligibility only), improving how claims and checks are routed to reduce confusion and denials.
New Plan Type Identification
We’ve improved how we categorize health plans. Available today: Dual and Marketplace plan types. Reach out to your CSM to turn the feature on.
The Nirvana Team is Out and About! Catch us at:
DHNY on Sept 18th in New York
The Symposium on Sept 22nd-24th in Austin, TX
NERUCA on Sept 28th-30th in Mashantucket, CT
MGMA Leaders Conference on Sept 28th-Oct 1st in Orlando, FL
Navigating healthcare coverage and costs doesn't have to feel like wandering in the dark. We're here to light the way.
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