How Modern Health Verifies Eligibility 50% Faster with Nirvana
50%
faster verification
250%
increase in total verifications
3X
operational efficiency in verification team
Discover how Modern Health streamlines eligibility checks and ensures continuous therapy access with Nirvana.
“Quick verification turnarounds are critical for our customers and their employees.
We operate within a tight timeline to onboard end users who want to continue therapy through our Health Plan Integration. With Nirvana, we have the eligibility and copay data we need to honor this timeline — and that allows us to keep growing.”
— Eddie Lieberman, Launch Operations Lead at Modern Health
Modern Health is a global leader in adaptive mental health care, dynamically offering multi-modal mental health support that delivers meaningful outcomes at a sustainable, predictable cost. With therapy, psychiatry, coaching, community groups, self-guided tools, and crisis support, we dynamically create individualized care journeys to address a spectrum of mental health needs and preferences with culturally responsive providers in 200+ countries and territories and 80+ languages.
Backed by peer-reviewed research and a proprietary blend of technology and live support, Modern Health delivers measurable outcomes, globally equitable access, and sustainable pricing. Our industry-leading Adaptive Care Model and dedicated, human-centered, operationally tuned, customer success partners make us a trusted partner for organizations worldwide.
Visit us at http://modernhealth.com to learn how we can help you optimize your people and your business.
According to a Modern Health study, about 81% of employees believe workplaces need stronger mental health benefits. To make this vision a reality, Modern Health helps employers offer long-term therapy options to employees through the platform’s Health Plan Integration (HPI) solution.
Employees who use Modern Health have access to a set number of employer-covered therapy sessions. Once they’ve used these sessions, they can continue extended therapy by integrating their health plan into the platform to pay insurance-based copays. To support these transitions, Modern Health verifies each user’s insurance benefits to collect accurate, upfront copay data. Timely information is essential in this process.
“We set a three-month timeline to complete this task for the entire workforce of one employer,” explains Eddie Lieberman. “Meeting this deadline with full cost transparency helps minimize canceled appointments. It also enables more people to continue treatment without disruption.”
Yet, as HPI users increased, Modern Health realized they needed a more efficient verification system to support their growth.
“The coverage information we received was dense and complex,” says Noura Elazami, Health Plan Operations Lead. “We spent hours interpreting it. And if users accidentally provided outdated or inaccurate details, it became time intensive.”
Even when users provided reliable information, extra support was needed to verify unusual cost estimates.
“We had our engineering team check and troubleshoot any unexpected copay estimates that the platform returned,” shares Sherry Guan, Health Plan Integration Senior Associate.
While challenging, this workflow surfaced an opportunity for Modern Health. The team knew that with a faster, more efficient verification system, they could create a seamless onboarding experience for their HPI offering. The right platform would:
“We wanted to ensure we enroll every customer into our Health Plan Integration solution within the expected time frame — or faster.” — Eddie Lieberman
Using Nirvana’s AI-powered verification technology, Modern Health’s team can keep eligible users connected to continuous mental health support through their HPI solution. The platform delivers real-time eligibility and copay details in seconds, allowing Modern Health to onboard all users well before their three-month deadline — and with full cost transparency.
The efficiency gains are immediate, starting with insurance data collection. With Nirvana’s OneVerify solution, the Modern Health team is able to complete this process efficiently, even when users provide limited or inaccurate information.
Nirvana’s AI-powered eligibility system automatically parses hundreds of health plans to retrieve coverage details with 94% accuracy. Then, the data populates in OneVerify’s intuitive interface. As a result, Modern Health’s team receives clear cost estimates, eliminating the need for engineering support or interpretation of nuanced copay structures.
Behind the scenes, Nirvana’s expert billers continuously validate the output to ensure coverage information matches the latest insurance schemes. This way, Modern Health’s team has peace of mind that employees can continue therapy without any lapses — even when they change health plans or their payer updates their policy.
Because Nirvana supports millions of verification checks per month, Modern Health can easily scale their HPI offering.
“Nirvana offers real-time benefit and copay data out of the box. Because their platform is extremely easy to navigate, we can verify coverage faster and more effectively.” — Noura Elazami, Health Plan Operations Lead at Modern Health
By partnering with Nirvana, Modern Health fully streamlined their benefit verification process, securing detailed, up-to-the-minute benefit and copay data for every HPI user.
Looking forward, the Modern Health team is excited to expand Nirvana’s use to provide cost transparency for HPI users with edge cases, including less common benefit structures that they can track in the OneVerify platform.
The team is also proud to continue supporting employees throughout their mental health journeys while growing Modern Health’s HPI offering.
“As a large, fast-growing leader in the mental health space, we always hope for quick answers to our questions. Nirvana provides the data and team support to address our inquiries about complex health plans and ensure reliable benefit verification.” — Eddie Lieberman
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