Eligibility Checking Features
Automated Eligibility Checks
Make benefits verification a simple process by setting rules to run checks based on appointment and payer data with enhanced eligibility.
Accurate Coverage Results
Trust your coverage results with 94% average accuracy and a model that continuously improves results through enhanced eligibility.
Upfront Cost-Share Details
Set patients up with the right payment expectations by getting copay, deductible, and out-of-pocket maximum details in your check results.
Denial Risk Alerts
Feel confident in your ability to get paid when you catch denial risks before they become an issue with alerts that flag potential missing or mismatched data.
VOBs for Behavioral Health
Determine patient coverage without hunting for the right details by getting eligibility check results specific to mental health services.
Run Benefits Verification From Your EHR
Simplify benefits verification by running eligibility checks through EHR-integrated clearinghouses, or for larger practices, through enhanced eligibility powered by Nirvana’s benefits verification technology.”
Yes – You Can Negotiate Higher Reimbursement Rates
Learn how to better position your practice to negotiate higher reimbursement rates with payers so you can improve your practice’s financial future.
Get Eligibility Results You Can Trust
Reduce double checking efforts by getting results you can trust with a 94% average accuracy built on a learning model that continuously improves coverage results through enhanced eligibility.
Run Automated Checks By Your Rules
Take the hassle out of checking eligibility while reducing your denials. Set up rules to run automatic checks when patients with payers like Medicaid have upcoming appointments that show coverage details and denial risks.
Prevent Denials with Upfront Alerts
Reduce the risk of getting denied and frustrating your patients by catching denial risks early and addressing the root issue with enhanced eligibility.”
Speed Your Benefits Verification Process
Stop checking eligibility one patient at a time by running batch checks through integrated clearinghouses or setting rules to run checks for you with enhanced eligibility.