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Nirvana

Real-time, specialty-specific insurance benefit verification API for behavioral health.

HIPAA / BAA offeredCustom (API/volume based)eligibilitybenefits verificationAPIdenial prevention
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Nirvana provides real-time insurance eligibility and benefits verification tuned for behavioral health, where generic clearinghouse checks routinely misread mental health carve-outs, telehealth coverage, and copay/coinsurance nuances. Its Coverage API returns plan details, cost estimates, and coverage confidence scores at intake, so practices and platforms can tell clients accurately what a session will cost before it happens — the single biggest driver of billing surprises and collections pain. Used by over ten thousand providers and embedded in several major therapy platforms and EHRs, it reduces claim denials by catching coverage issues upfront. Nirvana sells primarily to group practices, digital health companies, and EHR vendors via API contracts with custom pricing rather than to solo clinicians directly, though its checks power tools solo therapists already use. For groups fighting eligibility-related denials, it is a proven infrastructure choice.

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