Medicare Advantage In a Box
Mirra Health Care’s products and services are conceptualized, designed and developed by industry experts, to integrate Payer, Provider and Patient through a holistic and comprehensive approach, thus touching upon all aspects of Healthcare industry.
Products and Services for Medicare Advantage Health Plans
Driven by latest technology, developed by domain experts
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
Reviews & Testimonials
Recover Revenues with Our CMS Reject Analysis!
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