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We’re in the Business of Transforming Healthcare
MIRRA® is a Third-Party Administrator which integrates Payer, Provider and Patient; through a holistic and comprehensive approach - thus touching upon all aspects of the healthcare industry.
About Us
As licensed Third-Party Administrators, we provide insight based, user-friendly products and services that touch all aspects of healthcare; integrating the Payer, Provider, and Patient; thereby enhancing quality of life of the community.
Our Products
MIRRA® Products and Services are integrated, scalable and compliant to CMS standards and guidelines; resulting in high quality medical care to Patients and increased return on investments to Payers and Providers.
Eligibility, Enrollment and Member Management
Our Eligibility, Enrollment and Member Management solutions offer end-to-end capabilities for onboarding and management of Medicare Beneficiaries.
Premium Billing
Our Member Billing module easily automates the process of generating member invoices and posting of related payments.
Claims Adjudication
Our robust claims adjudication solution translates paper claims into digital records, processes electronic claims, maintains records and acts as an all-in-one payment reimbursement system.
Encounter Data Processing System (EDPS)
EDPS/RAPS solution receives, processes, transmits complete and complaint 837 data to CMS.
Utilization Management
Utilization management is a cutting-edge, customizable utilization and prior authorization management system.
Provider Portal
Our solution provides the participating providers with the best tools possible to support their administrative needs.
Customer Service Management
Our solution provides Health Plans with a holistic solution to manage all prospects' service-related processes.
Appeals, Grievances and Complaint Tracking Module
Creates and manages all types of Medicare Appeals and Grievances including Part B drugs, Part C, Part D and a CTM.
Member House
Our Member House solution is single source of truth for member related information.
Provider Villa
Provider Villa is a comprehensive solution that caters to provider integration needs of health plans and their operational processes
Full Stack Technology Solutions
Targeted, insights driven Tech powered by data science and AI delivers growth for Health Plans.
Healthcare Growth Marketing
Delivering compelling engagement and goal achievement for healthcare brands
Empowering Lives with Mirra's
Innovative TPA Solution
#7
Health Plans
#4
Independent Physician Association (IPA)
#2
Provider Specialty Group
#1
Hospice
123,777
Total TPA Members
65,358
Total IPA Members
#7
Health Plans
#4
Independent Physician Association (IPA)
#2
Provider Specialty Group
#1
Hospice
123,777
Total TPA Members
65,358
Total IPA Members
Why Us
Banking on our decades of experience in the Healthcare industry, we strive to create a transparent culture where people feel empowered, recognize core competence and excel in what they do the best; resulting in exceptional Products and Services.
Rich Domain Expertise
Enabling our customers to stay ahead of the curve is the result of our domain expertise as a Third-Party Administrator. We are proud to have enabled significant business outcomes for our client partners with optimum use of our technology enabled products and services.
Culture of Empowerment
Each employee at Mirra Healthcare is empowered to influence and set the tone for how things are done. This ensures that they are all stakeholders in their own and the organization’s success by delivering high-quality products and services.
Core Competence in Healthcare
Our team consists of experts in healthcare and technology industry. They work ceaselessly to be innovative and compliant to regulations. By analyzing multiple viewpoints, the team derives insights and creates high performance products and services.
Always aiming to Excel
We’re as successful as the Team that drives us. Our diverse and happy team is the cornerstone of our business. They excel with their work, their critical thinking and are always up for fresh challenges.
Powering the Future of Healthcare Technology
Professionals who are passionate and dedicated to serving Payer, Provider and Patient by transforming Healthcare.
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Explore our in-depth analyses and success stories
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NANCY GAREAUCEO of Ultimate Health Plans (Retired)
Recover Revenues with Our CMS Reject Analysis!
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