Nirvana

Nirvana is a web-based insurance eligibility verification platform for healthcare providers, digital health companies, and EHR partners that need real-time, specialty-specific benefits data.

Key capabilities include:

• Real-time eligibility and benefits verification across major health insurance carriers, including state Medicaid and MCO portals, using minimal patient data (name, date of birth, ZIP code)
• OneVerify eligibility management that automates end-to-end checks, helps reduce manual benefit verification work, and prioritizes denial-risk cases with workflow recommendations
• Cost estimates and intake support to improve out-of-pocket accuracy during scheduling and patient onboarding
• Coverage API for embedding real-time, typo-resistant benefits data into digital health products and EHR workflows

Pricing: Not published; book a demo for a quote (an ROI calculator is available on the website).

What makes it notable is its specialty-specific verification approach and scale, supporting 11,000+ providers and millions of annual verification events, plus an API option for partners that need embedded eligibility inside existing RCM, intake, or EHR systems.