Proprietary End-to-End Technology for Medicare Member Management

EFFICIENT & AUTOMATED

Dynamic flow and highly advanced work queue features, SmartWizard utilities, automated alerts, and reconciliation capabilities combine to increase accuracy and reduce fall out rates – promoting efficiency and cost savings.

COMPLIANT & SECURE

Miramar delivers compliance in Medicare plan administration, with strict adherence to CMS requirements and regulations. Securely managing member information, Miramar operates on Convey’s HITRUST Certified platforms and infrastructure – both TES and BPO.

IMPROVING OPERATIONAL PROCESSES

Backed by innovative design and high levels of integration, Miramar can be combined with our Services to create a complete end-to-end solution. Designed to meet the specific challenges that you face when trying to offer your members an optimal experience, Miramar+Services provides the health plan with better quality, and a lower cost of ownership.

Miramar:Enroll includes multi-channel intake and verification, along with full integration with CMS and real-time work queue distribution.

Miramar:Bill, along with full integration to Miramar:Enroll, enables automated adjustments associated with any member coverage changes.

Miramar:Capture enables your health plan to address processes for handling inbound mail correspondence, and aligning all associated enrollment, billing, and grievance functions.

Miramar:Resolve ensures accuracy and timeliness, with a one-screen view of all activities on a grievance which allows an auditor to capture the “story” of a grievance.

Miramar:Fulfill manages the sizable document fulfillment services associated with each step of the Medicare pre-enrollment and enrollment process.

Miramar:Connect enhances and elevates other Miramar modules with automation & streamlined processes for achieving compliant One-Call Resolution