The Most Innovative Team in Eligibility is Expanding. Now Open to Physical Therapy Partners
Learn More

Smarter insurance verification through AI

How Nirvana technology works

The Problem

The problem is complicated, inconsistent data

Antiquated data standards and an increasing number of complex insurance plans make simple automation impossible. A custom analytical model is necessary to achieve high accuracy across eligibility status and cost estimates
1230
Jan 21, 2023
CIGNA
237897102493
Jan 21, 2023
PPO
Tatiana
Vetrovs
1431
Jan 21, 2023
CIGNA Behavioral Health
15090871024
Jan 21, 2023
HMO
Marley
Curtis
1832
Jan 21, 2023
CIGNA Behavioral Health
107825098082
Jan 21, 2023
POS
Mira
Ekstrom Bothman
1859
Jan 21, 2023
CIGNA
182758912754912
Jan 21, 2023
POS
Kaiya
Stanton
1109
Jan 21, 2023
CIGNA
37458942375892
Jan 21, 2023
PPS
Emerson
Carder
1230
Jan 21, 2023
CIGNA
237897102493
Jan 21, 2023
PPS
Tatiana
Vetrovs
1431
Jan 21, 2023
CIGNA Behavioral Health
15090871024
Jan 21, 2023
HMO
Marley
Curtis
1832
Jan 21, 2023
CIGNA Behavioral Health
107825098082
Jan 21, 2023
PPS
Mira
Ekstrom Bothman
1859
Jan 21, 2023
CIGNA
182758912754912
Jan 21, 2023
PPS
Kaiya
Stanton
1109
Jan 21, 2023
CIGNA
37458942375892
Jan 21, 2023
PPS
Emerson
Carder
1230
Jan 21, 2023
CIGNA
237897102493
Jan 21, 2023
PPO
Tatiana
Vetrovs
1431
Jan 21, 2023
CIGNA Behavioral Health
15090871024
Jan 21, 2023
HMO
Marley
Curtis
1230
Jan 21, 2023
CIGNA
237897102493
Jan 21, 2023
PPO
Tatiana
Vetrovs
1431
Jan 21, 2023
CIGNA Behavioral Health
15090871024
Jan 21, 2023
HMO
Marley
Curtis
1832
Jan 21, 2023
CIGNA Behavioral Health
107825098082
Jan 21, 2023
PPS
Mira
Ekstrom Bothman
1859
Jan 21, 2023
CIGNA
182758912754912
Jan 21, 2023
PPS
Kaiya
Stanton
1109
Jan 21, 2023
CIGNA
37458942375892
Jan 21, 2023
PPS
Emerson
Carder
1230
Jan 21, 2023
CIGNA
237897102493
Jan 21, 2023
PPO
Tatiana
Vetrovs
1431
Jan 21, 2023
CIGNA Behavioral Health
15090871024
Jan 21, 2023
HMO
Marley
Curtis
1832
Jan 21, 2023
CIGNA Behavioral Health
107825098082
Jan 21, 2023
PPS
Mira
Ekstrom Bothman
1859
Jan 21, 2023
CIGNA
182758912754912
Jan 21, 2023
PPS
Kaiya
Stanton
1109
Jan 21, 2023
CIGNA
37458942375892
Jan 21, 2023
PPS
Emerson
Carder
1230
Jan 21, 2023
CIGNA
237897102493
Jan 21, 2023
PPO
Tatiana
Vetrovs
1431
Jan 21, 2023
CIGNA Behavioral Health
15090871024
Jan 21, 2023
HMO
Marley
Curtis
Scroll down
Scroll down
The Nirvana AI Model: A Dynamic Solution for a Complex Problem
Validated Plan Information
Nirvana’s internal team of billers helps our model understand the most complex plans
See more
Diverse Data Sources
Sourced from multiple clearinghouses, our model has reliable access to up-to-date plan data
See more
The Nirvana AI Model
See more
The Nirvana AI Model: A Dynamic Solution for a Complex Problem
Validated Plan Information
Nirvana’s internal team of billers helps our model understand the most complex plans
See more
Diverse Data Sources
Sourced from multiple clearinghouses, our model has reliable access to up-to-date plan data
See more
The Nirvana difference is our integration of deep human expertise
Nirvana’s In-House Experts
Data access alone isn’t enough to improve insurance verification, algorithms need to learn from the best.
Nirvana’s team of a dozen expert billers conducts thousands of policy audits each month, preventing garbage in/garbage out.
Direct User Input from Customers
Customer billers act on Nirvana workflows, training and reinforcing our model through millions of observations.
Nirvana’s model is built to allow customers to adapt and refine their tools as needed. Through the Eligibility Management Platform, administrators can use their knowledge to customize their solution directly, without the need for technical support.

Nirvana delivers the data your team needs

What you get with Nirvana
Accurate payer data
Auto-detection for correct payer associated to member plans, resulting in high policy recovery rate
Built-in patient retry logic
Recover policies and increase successful patient billing experiences.
Scalable technology
Scalable and flexible for your practice growth and  payor expansion
ML assistance
Human powered processes augmented by Machine Learning for the most accurate results

Nirvana Insights

Nirvana is on the cutting edge of healthcare technology

Navigating Healthcare’s Complexity: The Need for Adaptable AI Solutions

The X12 5010 standard and its impact on benefit verification.
Learn more

Machine Learning in Health Insurance Verification

Understand the capabilities, the best uses, and how Nirvana leverages this technology.
Learn more

Next level verification technology

We know how frustrating it is to not have patient verification and coverage technology that’s built for the nuances of mental health practices.  That’s why we built Nirvana, to create better systems so you can deliver better care.

FAQs

What payers does Nirvana support?
Nirvana supports Medicare, Medicaid and hundreds of payers nationwide. See full list here.
How do you integrate?
We have integrated into many homegrown EHRs for our clients, as well as Salesforce, and standard EHR integrations for Veradigm and AdvancedMD.
We use an eligibility tool right now, how is Nirvana different?
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.