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Nirvana Secures $24.2M for AI-Powered Health Insurance Verification

by Fred Pennic 09/17/2024 Leave a Comment

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What You Should Know: 

– Nirvana, a health tech startup leveraging AI to revolutionize insurance verification and eligibility secures $24.2M in Series A funding led by Northzone, a global VC firm, with participation from Inspired Capital, Eniac Ventures, and Surface Ventures.

– Nirvana’s successful Series A funding round highlights the growing recognition of the need for transparency and efficiency in healthcare billing. 

Transforming Healthcare Billing Transparency

Nirvana’s platform is designed to shed light on the often-opaque world of healthcare benefits. Using AI, it provides instant insurance verification and highly accurate cost estimates for providers and their patients. This transparency empowers patients to seek care confidently without the fear of surprise bills, while providers save time and money.

Founded to Tackle Financial Burdens in Healthcare

Akshay Venkitasubramanian, Urvish Parikh, and Kelvin Chan established Nirvana after witnessing the financial struggles faced by patients and providers due to the complexities of insurance eligibility. Recognizing AI’s potential to address this issue, they embarked on a mission to bring radical transparency to healthcare.

AI-Powered Solutions for Improved Patient and Provider Experiences

Nirvana’s AI model continuously learns from millions of monthly eligibility checks, adapting to the unique nuances of insurance across various healthcare specialties. This enables patients to pay confidently upfront at the time of their visit, simplifying the appointment booking process. For providers, it significantly reduces claim denials, easing the burden on finance and RCM teams.

Discover: Simplifying Eligibility Verification

Nirvana’s Discover technology offers a groundbreaking solution for retrieving complete eligibility information using only basic patient data. This system is capable of generating accurate results even in the face of data entry errors, making it a powerful tool for practice management. Discover has gained significant traction with direct-to-consumer healthcare companies, streamlining the signup process and significantly improving the patient experience.

Expanding Beyond Behavioral Health

While initially developed for behavioral health, Nirvana’s technology has already proven its value across multiple healthcare sectors. It has successfully improved patient experiences and workflows in physical therapy, intensive outpatient care, and primary care. The company is actively expanding into other specialties facing similar challenges.

“Healthcare providers and patients alike have suffered from the opaque and inefficient insurance verification process for far too long,” adds Akshay Venkitasubramanian, CEO of Nirvana. “With this new funding, we’re poised to supercharge our expansion into more specialties, helping more providers streamline their operations and offer patients the cost transparency they deserve. We’re building the eligibility management platform that will transform how payments are made in the healthcare industry.”

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Tagged With: Artificial Intelligence, insurance authorizations

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