If you have out-of-network benefits and a policy with an insurance company that is supported by our platform, you are eligible for our claims filing service provided your therapist is signed up with Nirvana.
How can I enroll?
You can enroll in minutes directly from the Client page. Once enrolled, you can also track the status of your claims in your portal. Your therapist can also enroll you directly from their version of the portal.
I just signed up for claims filing. What happens next?
That’s great! We work with your therapist directly to obtain all of the necessary information in order to file your claims, you don’t have to do anything else. Claims are filed weekly. Once you have met your deductible, checks will be mailed to the address on file with your therapist and your insurance. We recommend making sure this is up to date. We will provide monthly status updates via email on the last Friday of every month. If you have any other questions, please feel free to contact us at any time!
Are all types of sessions supported?
At this time, we can only support claims filing for adult psychotherapy sessions which have the following CPT codes & session types:
At this time we do not support the following insurance companies: Beacon Health Strategies, Beacon Health Options, 1199SEIU, Tufts Health Plan, Medicare, Medicaid, Healthfirst, Fidelis, and HMO/EPO Plans (which do not provide out-of-network benefits).
What happens when I've hit my deductible?
Our system conducts weekly checks with your insurance to get the most up-to-date information on your deductible. We file claims weekly so that you will meet your deductible and receive reimbursements as quickly as possible. If you are concerned the deductible amount in your portal is inaccurate, please contact us directly and we'll look into it!
When will you support all insurance companies?
We work with most major commercial plans, and are striving to add new plans as frequently as possible. We are limited to plans that support electronic verification of benefits. As we are able to support more plans, we will always keep you and your clients informed of these changes.
Why was my claim rejected? What happens next?
Claims are rejected for a variety of reasons. One of the most common causes is when your insurer requests supplemental information from your therapist’s practice. When a claim is rejected, our experts are alerted and work as quickly as possible to provide the requested information and successfully refile your claim, without having to involve you or your therapist. If you're concerned about a particular claim or have additional questions about this, please reach out to us!
How do I know my data is safe?
Nirvana only uses your information to communicate directly with your insurance company (checking benefits, filing claims, etc.). We are fully HIPAA compliant and your data will never be shared without your consent for anything other than what is necessary to process your claims.
Can I work with any therapist I want?
If you’re eligible for our claims Filing Service, yes, you can work with the therapist if your choice as long as they also enroll with us! Invite them to sign up on our “Therapist” page.
Do you work with COBRA?
Yes. Once COBRA has confirmed your policy has been activated (this can take several weeks from the time you send the payment), we will be able to file claims on your behalf. Please confirm with COBRA and with your insurance you have been reactivated in their system. If you have any questions or would like assistance with this, please don't hesitate to reach out.
I have some other questions. How can I get in touch with you?
Feel free to shoot us an email at any time at help@meetnirvana.com. We love to hear from you, so please don’t hesitate to reach out!
Can my clients contact you?
As long as your client has created an account with Nirvana directly, our HelpDesk is available to both you and your clients!
Why don’t you support all insurance companies?
We work with most major commercial plans, and are striving to add new plans as frequently as possible. We are limited to plans that support electronic verification of benefits. As we are able to support more plans, we will always keep you and your clients informed of these changes.
What insurance companies are not supported
At this time we do not support the following insurance companies:
Beacon Health Strategies Beacon Health Options 1199SEIU Tufts Health Plan Medicare Medicaid Healthfirst Fidelis HMO/EPO Plans (which do not provide out-of-network benefits)
How does claims filing work for clients on a sliding scale?
We will file all claims at your standard session rate. Any client that has proven financial limitations that prevent them from being able to pay your full rate must be indicated as a sliding scale client through appropriately documenting the write-off per session within your EHR.
Are all types of sessions supported?
At this time, we can only support claims filing for the following CPT codes:
You can invite your clients directly to register on our website “Client” page. From here, clients can enroll themselves in minutes and track the status of their claims. You can also enroll clients directly from your portal on the “Client” page.
Who is eligible?
Any clients that have out-of-network benefits and an insurance company that is supported by our platform are eligible for our claims filing service.