The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE
The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE
The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE
The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE
The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE

Smarter insurance verification through AI

How Nirvana technology works
Take a look under the hood

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
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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
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Building Adaptability With Supervised Learning
AI models require consistent feedback and validation to maintain precision. This is especially true in the insurance industry as plan data is dense and ever-changing.  
Nirvana’s model is supported by trainers with deep industry knowledge and relationships with some of the largest healthcare operators in the country, allowing it to interpret plans from hundreds of payers.
Diverse Data Sources
Sourced from multiple clearinghouses, our model has reliable access to up-to-date plan data
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A Reliable Foundation for Unparalleled Uptime
The Nirvana proprietary model is built to interpret data standards and structural blind spots ensuring it can understand the industry’s complexity
Nirvana has relationships with multiple data clearinghouses enabling 99% uptime.
The Nirvana AI Model
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After thousands of hours of training across millions of verification checks, Nirvana's AI model is now more accurate than human billers.
The AI engine is consistently fine-tuning with customer use and input
The Nirvana AI Model
After thousands of hours of training across millions of verification checks, Nirvana's AI model is now more accurate than human billers.
Nirvana results mirrored directly into your EHR
Benefit Verification & Cost estimation
Actionable insights are delivered to Nirvana’s Eligibility Management Platform
See more
Nirvana’s Eligibility Management Platform: The Path to Better Care
The Nirvana AI model provides the best eligibility data available, but it takes a platform to put that data into practice.
Nirvana’s Eligibility Management Platform empowers workflows and actionable insights, so that non-technical operators can easily oversee patient intake, cost estimation, and rolling benefit verification.
By streamlining these processes through an easy-to-use platform, disruptions to patient care are reduced, claim denials are prevented and the administrative overhead of our customers is redirected toward improving patient care.
The AI engine is consistently fine-tuning with customer use and input
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
Building Adaptability With Supervised Learning
AI models require consistent feedback and validation to maintain precision. This is especially true in the insurance industry as plan data is dense and ever-changing.  
Nirvana’s model is supported by trainers with deep industry knowledge and relationships with some of the largest healthcare operators in the country, allowing it to interpret plans from hundreds of payers.
Diverse Data Sources
Sourced from multiple clearinghouses, our model has reliable access to up-to-date plan data
See more
A Reliable Foundation for Unparalleled Uptime
The Nirvana proprietary model is built to interpret data standards and structural blind spots ensuring it can understand the industry’s complexity
Nirvana has relationships with multiple data clearinghouses enabling 99% uptime.
The Nirvana AI Model
See more
After thousands of hours of training across millions of verification checks, Nirvana's AI model is now more accurate than human billers.
Nirvana results mirrored directly into your EHR
Benefit Verification & Cost estimation
Actionable insights are delivered to Nirvana’s Eligibility Management Platform
See more
Nirvana’s Eligibility Management Platform: The Path to Better Care
The Nirvana AI model provides the best eligibility data available, but it takes a platform to put that data into practice.
Nirvana’s Eligibility Management Platform empowers workflows and actionable insights, so that non-technical operators can easily oversee patient intake, cost estimation, and rolling benefit verification.
By streamlining these processes through an easy-to-use platform, disruptions to patient care are reduced, claim denials are prevented and the administrative overhead of our customers is redirected toward improving patient care.
The AI engine is consistently fine-tuning with customer use and input
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

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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.
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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.
Book a Demo

FAQs

What payers does Nirvana support?
Nirvana supports Medicare, Medicaid and hundreds of payers nationwide. See full list here.
What payers does Nirvana support?
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.
How do you integrate?
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.
We use an eligibility tool right now, how is Nirvana different?
Akshay Venkitasubramanian
Chief Executive Officer
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.
Diverse Data Sources
A Reliable Foundation for Unparalleled Uptime
The Nirvana proprietary model is built to interpret data standards and structural blind spots ensuring it can understand the industry’s complexity
Nirvana has relationships with multiple data clearinghouses enabling 99% uptime.
Validated Plan Information
Building Adaptability With Supervised Learning
AI models require consistent feedback and validation to maintain precision. This is especially true in the insurance industry as plan data is dense and ever-changing.  
Nirvana’s model is supported by trainers with deep industry knowledge and relationships with some of the largest healthcare operators in the country, allowing it to interpret plans from hundreds of payers.
The Nirvana AI Model
After thousands of hours of training across millions of verification checks, Nirvana's AI model is now more accurate than human billers.
Benefit Verification & Cost estimation
Nirvana’s Eligibility Management Platform: The Path to Better Care
The Nirvana AI model provides the best eligibility data available, but it takes a platform to put that data into practice.
Nirvana’s Eligibility Management Platform empowers workflows and actionable insights, so that non-technical operators can easily oversee patient intake, cost estimation, and rolling benefit verification.
By streamlining these processes through an easy-to-use platform, disruptions to patient care are reduced, claim denials are prevented and the administrative overhead of our customers is redirected toward improving patient care.
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.
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