Phreesia’s Revenue Cycle module is an "AI-Enhanced" financial engine designed to secure patient payments before the visit happens. While traditional clearinghouses (like Availity) just tell you if insurance is active, Phreesia uses AI-Driven Copay Logic to predict the exact dollar amount a patient owes, even for complex procedure codes and prompts them to pay it digitally during check-in. It effectively turns your front desk into a "Self-Service Point of Sale."

Nirvana is a specialized AI engine built to solve the single most confusing part of private practice: "How much does this visit actually cost?" Unlike traditional clearinghouses that just spit back a raw "Active/Inactive" code, Nirvana uses AI to parse complex payer contracts and predict the exact patient responsibility (copay/deductible) in real-time. It is famous for its "Cardless Verification"—using machine learning to find a patient’s active insurance policy with just a name and DOB, even if the patient lost their card.