We know how frustrating it is to not have patient verification and coverage technology that’s built for the nuances of mental healthpractices. That’s why we built Nirvana, to create better systems so you can deliver better care.
Many of our customers have switched from their traditional eligibility tool because their billing teams were overwhelmed with pages and pages of non specific benefit results, forcing them to comb through to find the relevant information. This caused their teams to lack efficiency and feel overworked. With Nirvana, they get specialty specific results instantaneously so they can focus their attention on the most sensitive cases and while relying on automation for the others.
His extensive tenure in healthcare spans consulting, product management, technology strategy, and administration. With roots in Mount Sinai’s Specialty Care Team and as a product lead at Remedy Partners, Akshay’s vision for Nirvana has been shaped by his diverse healthcare experiences.
Urvish Parikh
Chief Technical Officer
Urvish spearheaded engineered solutions at tech giants like Enigma and Microsoft. His extensive experience in engineering stable systems coupled with his leadership experience brings unparalleled tech expertise to ensure Nirvana stands out.
Kelvin Chan
CPO & President
With his strategic roles at Enigma, IQVIA, and brand strategy at J&J, Kelvin has a rich background in product development and machine-learning applications in healthcare, ensuring Nirvana’s products are top-tier and user-centric.
Nirvana Coverage Supported Payers
Payer Name
Payer ID
Requires Enrollment?
J. F. Molloy and Associates Inc.
00143
Principal Financial Group
00143
Principal Life Insurance Company
00143
Coventry Health Care of the Carolinas (Wellpath)
00164
Medstar Family Choice (Helix)
00243
Medstar Physician Partners
00243
UnitedHealthcare Plan of the River Valley
00335
Coventry Missouri
00507
BCBSMN Blue Plus Medicaid
00562
Medicare Part B of Maryland
00901
Medicare of Maryland Jurisdiction A
00901
Medicare Part B of Delaware
00902
Medicare of Delaware Jurisdiction A
00902
Medicare Part B of DC
00903
Healthsource Maine - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID
01041
Healthsource Maine
01041
Qual Choice of Ohio
01250
Magellan Health Services
01260
Magellan Behavioral Health
01260
Healthsource New Hampshire (Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID)
UnitedHealthcare Community Plan / AZ (formerly Arizona Physicians IPA and APIPA)
03432
Harvard Pilgrim Healthcare
04271
Harvard Pilgrim Healthcare (837I & 837P)
04271
UHIS-UnitedHealthcare Integrated Services
04271
Neighborhood Health Plan of MA
04293
AllWays Health Partners
04293
Tufts Associated Health
04298
Tufts Health Plan
04298
Network Health Massachusetts
04332
Network Health MA (submit claims through payer ID: 04298)
04332
Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number.)
05047
Neighborhood Health Plan of Rhode Island
05047
Connecticare Inc.
06105
Connecticut General Life
06105
Physicians Health Services (now Health Net of NE) (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638)
06108
Health Net of the Northeast
06108
Oxford (UnitedHealthcare/Oxford)
06111
Oxford Health Plans
06111
Oxford (UnitedHealthcare)
06111
HealthSmart Benefit Solutions, Inc.
10003
Coventry HealthCare of Florida
10066
Molina Healthcare of Washington
10253
Blue Cross of Pennsylvania (Independence)
10262
Yes
Blue Cross Blue Shield of New Jersy (Horizon)
10337
AmeriHealth Mercy Health Plan
10340
ALLEGIANCE BENEFIT PLAN MANAGEMENT INCORPORATED
10654
Globe Life and Accident Insurance
10988
MAGNACARE
11303
Fidelis Care of New York
11315
Fidelis (CenterCare)
11315
Medica portal | Medica Health Plans Portal
12422
Aetna Better Health of Missouri
128MO
Central California Alliance
12K82
Molina Healthcare of Utah
12X09
Metro Plus Health (837P & 837I)
13265
Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call 718-794-7592.)
13334
Affinity Health Plans
13334
Hudson Health Plan (Provider must be located in Duchess Orange Rockland Sullivan or Westchester County NY)
13335
Hudson Health Plan (MVP Healthcare)
13335
Boston Medical Center Healthnet (BMC)
13337
BMC HealthNet Plan (837P & 837I)
13337
Orthonet - AETNA
13383
Wellcare HMO Inc.
14163
Wellcare Health Plan
14163
Staywell (Sunshine State Health Plan)
14163
Wellcare Kentucky
14163
MVP Health Care
14165
MVP HEALTHCARE (837P & 837I)
14165
CareCore National LLC (Aetna Radiology Claims)
14179
New York Medical Imaging-MVP
14179
CareCore Aetna Radiology
14179
POMCO (UMR)
16111
RMSCO Inc.
16117
Lifetime Benefit Solutions (EBS RMSCO)
16117
LIFETIME BENEFIT SOLUTIONS
16117
Ucare of Minnesota (For DOS prior to 01/01/2019)
19991
UCare of Minnesota
19991
Molina Healthcare of Ohio
20149
Better Health Plan of Florida (For claims rejections contact payer at 800-514-4561 and select provider services option.)
20488
Aetna Better Health Plan of Florida
20488
Molina Healthcare of Texas I Par Plus
20554
Horizon Blue Cross Blue Shield of New Jersey
22099
Blue Cross Blue Shield of New Jersey
22099
Horizon Healthcare of New York
22099
Amerihealth
22248
Carecentrix - Fallon Community Health
22254
Maryland Physicians Care (MPC)
22348
Capital Blue Cross (Pennsylvania)
23045
Blue Cross Capital of Pennsylvania
23045
Capital Advantage Insurance Company
23045
The Loomis Company (Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.)
23223
The Loomis Company
23223
UPMC Health Plan
23281
Keystone First (Mercy)
23284
QualCare Inc.
23342
Santa Clara Family Health Plans
24077
Western Grower's Insurance Company
24735
Pinnacle Claims Management Inc.
24735
Coventry Health Care (Coventry old Legacy Payer ID's are still accepted.)
25133
Healthcare USA
25133
Carecentrix - Coventry Healthcare
25133
Diamond Health Plan (previously PID 25131)
25133
OmniCare (For claims with Dates of Service after 10/01/04)
25150
Omnicare A Coventry Health Plan
25150
Gateway Health Plan Medicaid PA
25169
Americhoice Personal Care Plus PA (UnitedHealthcare Community Plan)
25175
Unison Health Plan (Formerly Three Rivers Provider Network.)
25175
UnitedHealthcare Community Plan - DC DE (formerly Unison)
25175
AmeriChoice Personal Care Plus PA
25175
Three Rivers Provider Network (Now known as Unison Health Plan.)
25175
Unison DC DE PA SC
25175
UnitedHealthcare Facets Pittsburgh - Community and State
25175
Better Health Plans (Unison Health Plan)
25175
Aetna Better Health IL Medicaid
26337
Carolina Care Plan (Part of the Medical Mutual Family of companies. Former payerID was 57105.)
29076
Medical Mutual of Ohio (Payer requires a 12 digit rendering provider ID# which needs to be obtained from payer by calling 800-321-7223)
29076
Medical Mutual of Ohio (Carolina Care Plan)
29076
Medical Mutual of Ohio
29076
State Farm Group Medical & Ind Health Ins Co (Note that payer requires Insured's ID of 11 or 12 digits and exact structure. Otherwise claims will reject.)
31053
State Farm Medical
31053
State Farm Group Medical (837P & 837I)
31053
CareSource of Ohio
31114
Central Benefits National
31118
Central Benefits Life aka HealthScope Benefits
31118
Healthsource Ohio
31141
ElderPlan Inc. (Elderplan Provider ID necessary on all claims. Contact (718)921-7979 for Provider ID.)
31625
ElderPlan, Inc.
31625
Buckeye Community Health (837P & 837I) (Remits returned under 68069)
32004
Universal Care - California (ProviderID required.)
33001
PacifiCare Behavioral Health
33053
The Health Plan (Upper Ohio Valley)
34150
Highmark Pennsylvania
35145
Yes
Healthsource Indiana (Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID)
35167
Qual Choice of Arkansas
35174
CoreSource of Illinois (Trustmark)
35182
CoreSource of Pennsylvania
35182
CoreSource of PA MD IL
35182
CoreStar (PayerID Termed to 35182. Older payerID of 41045 will start rejecting.)
35182
AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company
36273
AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company
36273
OVATIONS
36273
AARP - UnitedHealthcare Insurance Company
36273
Harmony Health Plan of Indiana (Only claims for Indiana Hoosier Healthwise members can be sent to this payer electronically.)
36405
Harmony Health Plan of Indiana
36405
Harmony Health Plan of Indiana (837I) (Remits returned under 14163)
36405
Harmony Health Plan of Illinois (Wellcare Provider ID required call (800) 960-2530 opt. 2 then 5)
36406
Harmony Health Plan of Illinios
36406
Harmony Health Plan of Illinois (837I) (Remits returned under 14163)
36406
Key Benefit Administrators (KBA)
37217
Planned Administrators Inc. (PAI)
37287
Essential StaffCare
37287
Golden Rule (UnitedHealthOne)
37602
Rooney Life Inc.
37602
UnitedHealthOne / Golden Rule (837P & 837I)
37602
Golden Rule
37602
Golden Rule Insurance
37602
Priority Health (Please contact Priority Health EDI Dept at 616-464-8686 or email EDISETUP@Priority-Health.com)
38217
Priority Health
38217
Christian Brothers Services
38308
Health Net of Arizona
38309
Molina Healthcare of California (Rendering provider must use Medi-Cal ID number or State License Number. Billing provider should use Federal TaxID only.)
38333
Molina Healthcare of California
38333
Molina Healthcare of Michigan
38334
Aetna TX Medicaid & CHIP (837P & 837I)
38692
Aetna TX Medicaid & CHIP
38692
UMR
39026
Employers Insurance of Wausau - aka Wausau (Now known as UMR Wausau)
39026
UMR Wausau
39026
Wausau Insurance Companies - aka Employers Insurance of Wausau (Now knows as UMR Wausau)
39026
UMR (formerly UMR Wausau, FiServ Health)
39026
UMR (formerly UMR Onalaska ERA)
39026
United Medical Resources
39026
TML Intergovernmental Employee Benefits
39026
United HealthCare Shared Services
39026
WEA Insurance Group
39151
WEA Trust
39151
SUPERIOR HEALTH PLAN OF TEXAS
39188
Superior Health/Centene Corp I Par Plus
39188
Superior Health Plan Texas (Remits returned under 68069)
39188
Preferred One
41147
Optum Health - Physical Health (Includes Oxford) (formerly ACN former payerIDs 41159 41160 ACN01)
41161
OptumHealth Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) (Former payerID 52190)
41194
Optum Health Care Solutions (Formerly U.R.N)
41194
URN
41194
American Republic Insurance Company
42011
Government Employees Health Association Inc. (GEHA)
44054
American Postal Workers Union Health Plan
44444
APWU Health
44444
Conversion Plan - APWU
44444
Riverside Health Inc
45281
Aspire Health Plan
46156
Seaside Health
46187
Physicians Mutual Insurance Company
47027
Physicians Mutual
47027
Todays Option (American Progressive and Pyramid Life)
48055
Pyramid Life Insurance Company
48055
Today's Option I Par Plus (Wellcare)
48055
Todays Option (837P & 837I)
48055
Molina Healthcare of Florida
51062
Johns Hopkins (USFHP) (New submitter should send in their Billing NPI & Rendering servicing NPI)
52123
Johns Hopkins Medecine US Family Health Plan (USFHP)
52123
Alliance PPO Inc.(Now known as OneNet PPO LLC.)
52149
OneNet PPO (formerly Alliance PPO and MAPSI)
52149
MAHP (MAMSI)
52149
OneNet PPO (UnitedHealthcare)
52149
Alliance PPO of MD (Mamsi)
52149
Optimum Choice of the Carolina's (MAMSI)
52152
MAHP (Bravo Health (Formerly known as Elder Health Inc. Serving members in PA MD DE TX and Washington DC.)
52192
Elder Health Maryland HMO Inc. (Now known as Bravo Health.)
52192
Bravo Health
52192
Elder Health HMO of Pennsylvania
52192
CIGNA HealthSprings
52192
National Association of Letter Carriers/NALC
53011
NALC (National Association of Letter Carriers Health Benefit Plan)
53011
Blue Cross Blue Shield of Arizona
53589
SW Service Administrators
53589
Sentara Family Plan
54154
Sentara Health Management (837P)
54154
Optima Health Plan
54154
Ohio Healthy
54154
Independent BLC of PA (Also known as Personal Choice PPO of Pennsylvania.)
54704
Yes
Personal Choice PPO of Pennsylvania (Also know as Independent BLC)
54704
Yes
Personal Choice PPO / Independent BLC
54704
Yes
Blue Cross of Pennsylvania (Independence)
54704
Yes
HealthPartners of Minnesota
55764
Yes
MedCost
56162
Aetna Affordable Health Choices (SM) - SRC
57604
Healthsource Georgia (CIGNA)
58210
Promina
58226
Aetna ASA PPO/Assurant Health (Signature Admin)
58730
MedCAVMED
59274
Avmed Inc.
59274
AvMed (837P & 837I) Provider must enroll for EFT in order to receive electronic remittance, http://www.avmed.org/Providers/Tools/EOP
59274
Florida Health Care Plans (Blue Cross Blue Shield)
59322
MedCAFlorida Health Care Plans (FHCP)(837P & 837I)
59322
Wellcare Health Plan Inc. (Encounters only)
59354
Healthease
59608
Wellcare of FL
59608
HealthHealthease (837I) (Remits returned under 14163)
59608
Aetna Health Plans (AHP)
60054
Aetna Life & Casualty Company
60054
Primary Choice (Aetna Health Plan of NY/NJ)
60054
Select Choice
60054
Select Choice (Aetna Health Plan of NY/NJ)
60054
Aetna
60054
Aetna 60054 (Commercial only)
60054
AHP of New Jersey Purchase NY
60054
Ohio Valley HMO Cincinnati (Aetna)
60054
PHP of Georgia Atlanta (Aetna)
60054
PHP of North Ohio Cleveland (Aetna)
60054
Southwest Health Plan (Aetna HMO)
60054
Aetna/Us Healthcare
60054
Carecentrix - Aetna
60054
Healthsource Kentucky - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID
61127
Healthsource Kentucky
61127
Passport Health Plan
61129
Benefit Trust Life Insurance Company
61425
Trustmark
61425
Tooling & Manufacturing Association
61425
Trustmark (Includes Starmark & TMA)
61425
Healthsource Tennessee (CIGNA)
62129
Blue Cross Blue Shield Arizona (Health Choice of Arizona)
62179
CIGNA Health Plan
62308
CIGNA Premier Plus
62308
EQUICOR
62308
EQUICOR - PPO
62308
CIGNA
62308
CIGNA - PPA
62308
Connecticut General (CIGNA)
62308
Equitable (CIGNA)
62308
HEALTHSOURCE PROVI
62308
PROVIDENT
62308
TYSON FOODS
62308
Cigna Healthcare (Medical)
62308
Carecentrix - Cigna
62308
SmartHealth
62308
Meritain Health (North American Health Plan.)
64157
North American Administrators Inc.
64157
Meritain Health (Formerly know as North American Administrators)
64157
Meritain Health
64157
CBSA (Corporation Benefit Services of America)
64157
American Therapy Administration of Florida aka ATA-FL (Only PT OT and Speech Therapy claims for FL plans to AETNA CarePlus JMH HP Sunshine St WellCare.)
65064
Capitol Administrators
68011
Health Plan of San Joaquin (HPSJ)
68035
Cenpatico Behavioral Health Georgia
68050
Cenpatico Behavioral Health Indiana
68052
Cenpatico Indiana
68052
Medicare Advantage
68056
Sunshine State Health Plan (Remits returned under 68069)
68057
Sunshine State Health Plan (Remits returned under 68069)
68060
MAGNOLIA HEALTH PLAN
68062
Magnolia
68062
Magnolia Mississippi
68062
Cenpatico Behavioral Health Illinois
68065
Kentucky Spirit
68067
Cenpatico - Kansas (Prior to submitting claims please call Provider Relations Dept at 866-896-7293 to verify your provider info is on file in the claim system.)
68068
Cenpatico (For multiple states)
68068
Cenpatico Behavioral Health - Wisconsin (Call 800-225-2573 ext 25525 prior to submitting claims.)
68068
Cenpatico Behavioral Health AZ (Prior to submission contact 866-495-6748 to verify provider ID.)
68068
Cenpatico Behavioral Health Massachusetts
68068
Cenpatico Wisconsin
68068
Integrated Mental Health Services
68068
Cenpatico Kansas
68068
Cenpatico South Carolin
68068
Cenpatico Behavioral Health South Carolina
68068
Cenpatico Missouri
68068
Cenpatico Massachusetts
68068
CENPATICO GEORGIA
68068
GROUP PRACTICE AFFILIATES
68068
Cenpatico Mississippi
68068
Superior Health Plan - Behavioral
68068
California Health and Wellness
68069
Carolina Crescent
68069
CeltiCare
68069
Centene Advantage Plans
68069
Sunflower State Healthcare Plan
68069
Illinicare Group Health
68069
Kentucky Spirit Health Plan
68069
Louisiana Healthcare Connections
68069
Peach State Health Plan (Behavioral Health)
68069
Peach State Health Plan (Medicaid) (Call 800-225-2573 ext 25525 prior to submitting claims.)
68069
Sunflower State Health Plan
68069
Total Carolina Care
68069
BRIDGEWAY NETWORK
68069
Coordinated Care
68069
Absolutre Total Care
68069
Bridgeway
68069
Bridgeway Health Solutions
68069
Peach State Health Plan
68069
NOVASYS HEALTH
68069
Western Sky Community Care
68069
Ambetter of Arkansas
68069
Nebraska total care
68069
ABSOLUTE TOTAL CARE
68069
Ambetter North Carolina
68069
Trillium Community Health Plan
68069
Ambetter from Sunshine Health
68069
Ambetter
68069
Superior Health Plan - Medical
68069
Superior Health Plan Medicaid (STAR, STAR Health, STAR Kids and STAR PLUS)
68069
BRIDGEWAY ARIZONA
68069
Healthsource Arkansas (Med) (CIGNA)
71075
Student Resources (UnitedHealthcare)
74227
Boon-Chapman Benefit Administrators Inc.
74238
BOON-CHAPMAN/AETNA
74238
Mental Health Network (Only claims for PO Box 209010 Austin TX 78720)
74289
Mental Health Network
74289
MHNET
74289
Medical Benefits Mutual (Newark OH)
74323
MedBen (Newark OH)
74323
Medical Benefits Administrators Inc. (Newark OH)
74323
Community Health Electronic Claims/CHEC/webTPA
75261
Geisinger Health Plan
75273
Health Plan of Nevada (FFS claims)
76342
Sierra Health and Life (Encounters)
76342
Sierra Health and Life (Encounter Claims) (SecureHorizons by UnitedHealthcare)