Nirvana scales real-time benefits verification with Stedi
Healthcare
Nirvana helps healthcare providers verify insurance eligibility. Their goal is to make benefit verification fast, accurate, and easy to understand.
It’s harder than it sounds. Coverage rules are often complicated. Data from insurers can be inconsistent and hard to read. Patients often don’t know what’s covered. Providers don’t know what to expect.
The cost of this confusion is high. Patients make uninformed decisions and get stuck with surprise bills. Staff waste time chasing down insurers. Providers lose money when claims get denied. Everyone is frustrated.
Nirvana exists to fix that. “At Nirvana, our mission is to simplify insurance verification so providers can focus on patient care - not paperwork,” says Nirvana CEO and Co-Founder Kelvin Chan. “We want to make it easy for patients to understand their coverage – and easy for providers to trust what they’re seeing.”
Challenge
Nirvana supports over 11,000 providers and millions of appointments per month across digital health companies and provider groups nationwide.
Every eligibility check Nirvana delivers has to be accurate and intelligible. Clean, reliable data isn’t optional. It’s the core of their product.
To deliver that reliability, Nirvana ingests raw X12 270/271 responses. They parse every field, map every service code and type, and use the data to power cost estimates, reduce denials, and simplify patient intake.
Every edge case around insurance acceptance matters, especially when interpreting benefits is so complex. “Every request we process represents a provider and patient waiting for clarity to move care forward,” says Arnav Simha, Product Manager at Nirvana.
"Every request we process represents a provider and patient waiting for clarity to move care forward."
Many legacy clearinghouse sources aren't designed to support the level of precision–or responsiveness–that Nirvana requires. As a result, the Nirvana team frequently had to engineer creative, custom workarounds to bridge critical gaps and uphold the high accuracy their customers rely on.
The lack of responsiveness often left Nirvana without visibility. Support felt like a black hole. That made it hard to debug problems and slowed everything down.
Nirvana supports over 11,000 providers and millions of appointments per month across digital health companies and provider groups nationwide.
Every eligibility check Nirvana delivers has to be accurate and intelligible. Clean, reliable data isn’t optional. It’s the core of their product.
To deliver that reliability, Nirvana ingests raw X12 270/271 responses. They parse every field, map every service code and type, and use the data to power cost estimates, reduce denials, and simplify patient intake.
Every edge case around insurance acceptance matters, especially when interpreting benefits is so complex. “Every request we process represents a provider and patient waiting for clarity to move care forward,” says Arnav Simha, Product Manager at Nirvana.
"Every request we process represents a provider and patient waiting for clarity to move care forward."
Many legacy clearinghouse sources aren't designed to support the level of precision–or responsiveness–that Nirvana requires. As a result, the Nirvana team frequently had to engineer creative, custom workarounds to bridge critical gaps and uphold the high accuracy their customers rely on.
The lack of responsiveness often left Nirvana without visibility. Support felt like a black hole. That made it hard to debug problems and slowed everything down.
Solution
Nirvana brought in Stedi to support real-time eligibility checks as part of their broader infrastructure.
The integration was fast. In addition to JSON, Stedi’s Real-Time Eligibility APIs can deliver raw 270/271 responses with consistent formatting and full data. No translation layers. Just clean, predictable X12.
That made it easy for Nirvana’s systems to parse and map responses at scale. “We have built products that providers have come to depend on. Stedi's reliability enables us to continue to build this trust between providers and patients,” says Arnav.
Stedi also provides real-time support. “What we value most about Stedi is their responsiveness,” says Arnav. “Insurance data can be complex–both technically and conceptually–and having a partner who replies within minutes makes a real difference.”
"What we value most about Stedi is their responsiveness."
Transaction enrollments got easier too. Nirvana can now submit enrollment requests through Stedi’s Enrollments API. Most are processed automatically. For the others, Stedi handles the manual steps. Nirvana can track enrollment status in real time through Stedi’s Enrollments API.
“With Stedi, we actually get consistent data, fast support, and we know exactly what's going on when something fails,” says Kelvin.
"With Stedi, we actually get consistent data, fast support, and we know exactly what's going on when something fails."
Nirvana brought in Stedi to support real-time eligibility checks as part of their broader infrastructure.
The integration was fast. In addition to JSON, Stedi’s Real-Time Eligibility APIs can deliver raw 270/271 responses with consistent formatting and full data. No translation layers. Just clean, predictable X12.
That made it easy for Nirvana’s systems to parse and map responses at scale. “We have built products that providers have come to depend on. Stedi's reliability enables us to continue to build this trust between providers and patients,” says Arnav.
Stedi also provides real-time support. “What we value most about Stedi is their responsiveness,” says Arnav. “Insurance data can be complex–both technically and conceptually–and having a partner who replies within minutes makes a real difference.”
"What we value most about Stedi is their responsiveness."
Transaction enrollments got easier too. Nirvana can now submit enrollment requests through Stedi’s Enrollments API. Most are processed automatically. For the others, Stedi handles the manual steps. Nirvana can track enrollment status in real time through Stedi’s Enrollments API.
“With Stedi, we actually get consistent data, fast support, and we know exactly what's going on when something fails,” says Kelvin.
"With Stedi, we actually get consistent data, fast support, and we know exactly what's going on when something fails."
Results
With Stedi, Nirvana runs millions of eligibility checks–fast, reliably, and at scale. “Since integrating with Stedi, we've seen a 2% increase in successful response rates. That seemingly small gain translates to thousands more people accessing care more easily,” says Arnav.
“Since integrating with Stedi, we've seen a 2% increase in successful response rates."
Nirvana doesn’t waste time debugging malformed responses. They don’t wait weeks for enrollment updates. Nirvana’s engineers can ship without worrying about clearinghouse edge cases. Their systems just work. And they know Stedi’s support engineers are there when they need help.
That lets Nirvana stay focused on bringing transparency to benefits. Arnav puts it this way: “To deliver on our mission, we need partners that are as reliable as we are. Stedi is that partner.”
“To deliver on our mission, we need partners that are as reliable as we are. Stedi is that partner.”
With Stedi, Nirvana runs millions of eligibility checks–fast, reliably, and at scale. “Since integrating with Stedi, we've seen a 2% increase in successful response rates. That seemingly small gain translates to thousands more people accessing care more easily,” says Arnav.
“Since integrating with Stedi, we've seen a 2% increase in successful response rates."
Nirvana doesn’t waste time debugging malformed responses. They don’t wait weeks for enrollment updates. Nirvana’s engineers can ship without worrying about clearinghouse edge cases. Their systems just work. And they know Stedi’s support engineers are there when they need help.
That lets Nirvana stay focused on bringing transparency to benefits. Arnav puts it this way: “To deliver on our mission, we need partners that are as reliable as we are. Stedi is that partner.”
“To deliver on our mission, we need partners that are as reliable as we are. Stedi is that partner.”
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Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.
Get updates on what’s new at Stedi
Backed by
Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.
Get updates on what’s new at Stedi
Backed by
Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.