AI-powered real-time eligibility verification processing 90M+ transactions monthly across commercial, Medicare, and Medicaid payers.
AI-powered insurance eligibility verification with 94% accuracy and Cardless Verification™ for behavioral health practices.
What It Is
Waystar Eligibility
AI-powered real-time eligibility verification processing 90M+ transactions monthly across commercial, Medicare, and Medicaid payers.
Nirvana Health
AI-powered insurance eligibility verification with 94% accuracy and Cardless Verification™ for behavioral health practices.
Primary Category
billing-rcm-insurance
billing-rcm-insurance
Primary Category
Waystar Eligibility
billing-rcm-insurance
Nirvana Health
billing-rcm-insurance
Founded
Unknown
Unknown
Founded
Waystar Eligibility
Unknown
Nirvana Health
Unknown
Best For
Health systems needing comprehensive eligibility verification; Multi-site organizations with high claim volume; Practices wanting to reduce front-desk manual lookups
Behavioral health practices needing accurate eligibility checks; Multi-provider groups verifying high volumes of benefits; Practices struggling with inaccurate patient insurance data
Best For
Waystar Eligibility
Health systems needing comprehensive eligibility verification; Multi-site organizations with high claim volume; Practices wanting to reduce front-desk manual lookups
Nirvana Health
Behavioral health practices needing accurate eligibility checks; Multi-provider groups verifying high volumes of benefits; Practices struggling with inaccurate patient insurance data
Pricing
Starting Price
Custom quote required
Custom quote required
Starting Price
Waystar Eligibility
Custom quote required
Nirvana Health
Custom quote required
Pricing Model
enterprise-custom
enterprise-custom
Pricing Model
Waystar Eligibility
enterprise-custom
Nirvana Health
enterprise-custom
Free Trial
No free trial
No free trial
Free Trial
Waystar Eligibility
No free trial
Nirvana Health
No free trial
Pricing Details
No public pricing. Small practices typically pay $100-300/provider/month. Mid-sized organizations report $2,000-5,000+/month with annual contracts starting near $11,000. Implementation costs $2,000-10,000+. Premium integrations may add $1,000-7,500+.
Two pricing models: pay-per-check or committed volume with discounts. Higher upfront commitment = lower per-check cost. Contact sales for specific pricing.
Pricing Details
Waystar Eligibility
No public pricing. Small practices typically pay $100-300/provider/month. Mid-sized organizations report $2,000-5,000+/month with annual contracts starting near $11,000. Implementation costs $2,000-10,000+. Premium integrations may add $1,000-7,500+.
Nirvana Health
Two pricing models: pay-per-check or committed volume with discounts. Higher upfront commitment = lower per-check cost. Contact sales for specific pricing.
Compliance & Security
HIPAA Compliant
Yes
Yes
HIPAA Compliant
Waystar Eligibility
Yes
Nirvana Health
Yes
BAA Available
Yes
Yes
BAA Available
Waystar Eligibility
Yes
Nirvana Health
Yes
SOC 2 Certified
Yes
Yes
SOC 2 Certified
Waystar Eligibility
Yes
Nirvana Health
Yes
HITRUST Certified
Yes
Unknown
HITRUST Certified
Waystar Eligibility
Yes
Nirvana Health
Unknown
Features
Mobile App
No
No
Mobile App
Waystar Eligibility
No
Nirvana Health
No
Mental Health Specific
No
No
Mental Health Specific
Waystar Eligibility
No
Nirvana Health
No
Integrations
Total Integrations
6 integrations
3 integrations
Total Integrations
Waystar Eligibility
6 integrations
Nirvana Health
3 integrations
Clearinghouse
None
Optum Marketplace
Clearinghouse
Waystar Eligibility
None
Nirvana Health
Optum Marketplace
Billing Features
Claims Submission
No
No
Claims Submission
Waystar Eligibility
No
Nirvana Health
No
Eligibility Verification
Yes
Yes
Eligibility Verification
Waystar Eligibility
Yes
Nirvana Health
Yes
ERA Processing
Yes
No
ERA Processing
Waystar Eligibility
Yes
Nirvana Health
No
Support & Fit
Practice Sizes
Medium (11-50), Large (51-200), Enterprise (200+)
Small (2-10), Medium (11-50), Large (51-200), Enterprise (200+)
Practice Sizes
Waystar Eligibility
Medium (11-50), Large (51-200), Enterprise (200+)
Nirvana Health
Small (2-10), Medium (11-50), Large (51-200), Enterprise (200+)
Customer Base
Unknown
Unknown
Customer Base
Waystar Eligibility
Unknown
Nirvana Health
Unknown
Ready to Get Started?
Visit these tools to learn more or request a personalized demo.
