The benefit reset period is a challenging time for providers nationwide, especially as antiquated systems have failed to scale with the volume and complexity of insurance plans. Nirvana’s API is a significant step forward for providers and patients, helping the busy end-of-year reset period pass with ease. 

One of the greatest stumbling blocks for healthcare benefit verification is annual benefit resets. When a patient’s health insurance renews, their coverage can change alongside associated costs, deductibles, and visit limits (even if they don’t realize it).

Nirvana, today announced it has raised $24.2 million in Series A funding. Northzone, a global VC firm, led the round with the participation of Inspired Capital, Eniac Ventures, and Surface Ventures.

While the X12 5010 Standard brought order to chaotic elements in the process, it has proved to be too rigid and narrow to capture the complexity of results in inherently chaotic system. The healthcare ecosystem thrives on adaptation and innovation, Nirvana's adaptive API powered by AI is built to to meet the needs of this complex environment.

At Nirvana, we believe that machine learning (ML) has a critical role to play in improving healthcare insurance verification and eligibility workflows.

At Nirvana, we build products to make the mental healthcare billing process foolproof. We use cutting edge AI and machine learning to create the tools providers and administrators need to streamline their back office work and easily access accurate pricing information on care.

If you've ever received medical treatment or services, you may have come across something called a CPT code. But what exactly is a CPT code, and why are they required?In this blog post, we'll explain what a CPT code is and how it's used, as well as why it's important for both healthcare providers and patients to understand and use CPT codes.

This resource answers questions regarding the privacy of mental health insurance claims while using employer-sponsored coverage and why some to opt for Out-of Network care. Additionally, this resource details how Nirvana enables OON insurance reimbursement.

Retaining clients is an important concern for therapists, as it can have a significant impact on the success and sustainability of their practice. Learn more about how out of network insurance reimbursement can help promote client retention.