Nirvana Health

Nirvana is a real-time insurance eligibility, benefits, and patient cost-estimation platform purpose-built for behavioral and mental health. Its Coverage API normalizes complex payer data into structured JSON, returning eligibility, plan-level benefits, patient cost-share, session limits, and prior authorization details, and can recover active coverage from only basic patient demographics.

5 APIs 0 Features

HealthcareInsuranceEligibilityBenefitsCost EstimationBehavioral Health

APIs

Nirvana Eligibility & Coverage API

Real-time insurance eligibility and active-coverage discovery. The discover operation finds active coverage and plan-level details for a patient, including Cardless Verification...

Nirvana Coverage Scan API

Scans multiple payers to locate any active coverage a patient may have when the payer is unknown, returning matched coverage with normalized plan details.

Nirvana Benefits API

Specialty-specific, payer-normalized benefit details returned within coverage and estimate responses - patient cost-share, copay, coinsurance, deductible, out-of-pocket maximum,...

Nirvana Cost Estimation API

Real-time per-session patient cost estimates. The estimate operation returns the patient's expected financial responsibility for an appointment based on provider session cost, n...

Nirvana Medicaid API

Finds active Medicaid coverage and Medicaid-level eligibility details for a patient, supporting Medicaid payers nationwide.

Collections

Nirvana Coverage API

OPEN

Pricing Plans

Nirvana Plans Pricing

1 plans

PLANS

Rate Limits

Nirvana Rate Limits

1 limits

RATE LIMITS

FinOps

Nirvana Finops

FINOPS

Resources

Sources

opencollection: 1.0.0
info:
  name: Nirvana Coverage API
  version: v1
request:
  auth:
    type: apikey
    apikey:
      key: apikey
      value: '{{apiKey}}'
      in: header
items:
- info:
    name: Eligibility & Coverage
    type: folder
  items:
  - info:
      name: Discover active coverage and plan-level details for a patient.
      type: http
    http:
      method: POST
      url: https://coverage-api.meetnirvana.com/v1/discover
      body:
        type: json
        data: "{\n  \"member_first_name\": \"\",\n  \"member_last_name\": \"\",\n  \"member_dob\": \"\",\n  \"provider_npi\"\
          : \"\"\n}"
    docs: Find active coverage and plan-level details for a patient, including Cardless Verification from basic demographics.
- info:
    name: Coverage Scan
    type: folder
  items:
  - info:
      name: Scan multiple payers to find any patient's active coverage.
      type: http
    http:
      method: POST
      url: https://coverage-api.meetnirvana.com/v1/scan
      body:
        type: json
        data: "{\n  \"member_first_name\": \"\",\n  \"member_last_name\": \"\",\n  \"member_dob\": \"\",\n  \"provider_npi\"\
          : \"\"\n}"
    docs: Scan multiple payers to find any active coverage a patient may have when the payer is unknown.
- info:
    name: Cost Estimation
    type: folder
  items:
  - info:
      name: Real-time cost estimate & benefit details for a patient's session.
      type: http
    http:
      method: POST
      url: https://coverage-api.meetnirvana.com/v1/estimate
      body:
        type: json
        data: "{\n  \"member_first_name\": \"\",\n  \"member_last_name\": \"\",\n  \"member_dob\": \"\",\n  \"provider_npi\"\
          : \"\",\n  \"provider_session_cost\": 0,\n  \"in_network\": true\n}"
    docs: Return a real-time cost estimate and benefit details for a patient's session.
- info:
    name: Medicaid
    type: folder
  items:
  - info:
      name: Find active Medicaid coverage & Medicaid-level details.
      type: http
    http:
      method: POST
      url: https://coverage-api.meetnirvana.com/v1/medicaid
      body:
        type: json
        data: "{\n  \"member_first_name\": \"\",\n  \"member_last_name\": \"\",\n  \"member_dob\": \"\",\n  \"provider_npi\"\
          : \"\"\n}"
    docs: Find active Medicaid coverage and Medicaid-level details for a patient.
bundled: true