Challenge

Studies show many patients forgo seeking mental or behavioral health treatment because of a lack of provider availability, access, and cost transparency. Those who do navigate the convoluted healthcare and insurance system often experience unexpected medical bills, inaccurate cost estimates, and surprise out-of-network price hikes.
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As a leader in mental health care, Geode Health provides the best mental health care in one place but a manual, time-consuming, and expensive patient verification process was impacting their patient experience and ability to deliver on their mission of affordable, best-in-class care.

Solution

To eliminate the stress associated with navigating the healthcare and insurance system, Geode sought an automated solution that could provide up-front, clear cost estimates for every patient. The solution was Nirvana's adaptive verification technology powered by AI generated from expert biller insights.

This allowed Geode Health to accelerate its verification process by checking eligibility instantly, providing up-front cost estimates to patients, and replacing long phone calls to insurers.

The Outcome

100,000+ checks

Eligibility checks and cost estimates provided upfront for more than 100,000 visits.

10,000+ corrected

Identified and corrected over 10,000 enrollment discrepancies, preventing unnecessary out-of-network bills.

Scalable verification

An automated patient benefit verification process built to grow with Geode enabling patients to schedule appointments within 24 hours, enhancing accessibility to mental health treatment.

“Geode Health and Nirvana share a vision of making mental health services more affordable and transparent. This partnership reflects our commitment to addressing the challenges in mental health billing and ensuring a positive experience for both providers and patients."

Dr. Ravi Shah

M.D., Chief Medical Officer of Geode

Geode Health

Challenge

Solution

The Outcome

Healthy Patients And Healthy Practices Start Here