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

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

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

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

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

The Most Innovative Team in Eligibility Management

Now delivering cost transparency to expanded healthcare fields.

Why Nirvana?

Specialty Specific Coverage and Cost Share

Customized machine learning models that auto-update with plan year resets to ensure providers have accurate, updated insurance data on file.

Complete eligibility data with minimal inputs required

We retrieve full coverage information with only name, DOB, and zip.

Typo-proof checks

Instantly retrieve accurate eligibility details even with incorrect member data.

How our results are tailored to your specialty:

Mental and Behavioral Health

Our Mental Health model delivers the most reliable results by correctly verifying a patient’s insurance and any carve-outs with typo-proof data entry.

Physical Therapy

Nirvana’s solution is built to surface reliable Prior Authorization status instantly. Physical Therapy providers and patients can rely on accurate cost estimation prior to care.

Determine patient’s referral requirement immediately with our primary care solution. Easily track primary care visits and uncover visit-specific copays, including weight management, nutrition, and general first visits.

Intensive Outpatient

Easily locate facility outpatient benefits for patients requiring treatment with Nirvana’s Outpatient solution. Track days remaining in a facility to stay on top of pivotal moments of care.

Grow user base with accurate patient facing cost information. With Nirvana’s instant eligibility checks, digital health companies improve online booking conversion rates.

Employer Benefit Vendors

Empower employers and employees with precise, real-time insurance verification. Nirvana’s platform seamlessly integrates with benefit navigation tools to surface accurate eligibility, cost share, and carve-out info—no call center required.

Business Process Outsourcing (BPO)

Streamline intake and back-office workflows with Nirvana’s always-on eligibility verification. Our solution reduces manual errors and phone time, enabling BPO teams to deliver scalable, high-quality service across multiple provider types.

Surface exam-specific copays and authorization status instantly with Nirvana’s Radiology solution. Radiology groups can avoid denials and speed up time to scan with patient-specific insights at the moment of scheduling.

Interested in learning more about Nirvana Solutions for a specialty not listed?