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Eligibility, Enrollment and Member Management
Eligibility, Enrollment and Member Management
Our Eligibility, Enrollment and Member Management solutions offer both products and services to on-board Medicare beneficiaries on to the Medicare Advantage plans by offering a wide range of features and benefits.
Why our Eligibility, Enrollment and Member Management is preferred by Health Plans
Improves turnedaround time
Improves turnedaround time for applications
Improve care
Improve care for Medicare members
Data-driven decision making
Enable data-driven decision making via advanced analytics, thereby enabling better star ratings
Improves rates of acceptance
Improves first pass and rate of acceptance and reduce denials through automated business rules
Why our Eligibility, Enrollment and Member Management is preferred by Health Plans
Improves turnedaround time
Improves turnedaround time for applications
Improve care
Improve care for Medicare members
Data-driven decision making
Enable data-driven decision making via advanced analytics, thereby enabling better star ratings
Improves rates of acceptance
Improves first pass and rate of acceptance and reduce denials through automated business rules
Features at a glance
Compliant with Medicare and Medicare-specific processes
Interactive dashboard showcasing the key information areas like number of new members(plan wise), number of disenrolled members etc
Ability to intake from multiple sources via online, paper, 834 EDI, OEC, custom format
Available on desktop and mobile interfaces
Real-time and batch mode eligibility checks through CMS (BEQ)
Automated TRC processing
Automated creation and fulfillment of all member correspondence including Annual notification of change (ANOC), Letters, Welcome Kit, ID Card, HRA, and AOR in compliance with CMS guidelines.
Audit functionality support
Configurable workflows
Tracking of fulfillment / tasks
HIPAA-compliant hosted solution
Statutory and Ad hoc reporting
Download BrochureWhy choose MIRRA's® Eligibility, Enrollment and Member Management?
Most of the products available in the market have a high initial investment, making it unaffordable for small & medium enterprises to come on board. Our affordable products and services integrated across Payers and Providers help small and big enterprises alike.
Our enrollment system is forecasted to deliver a first pass rate upwards of 95% with all the CMS specific business validations in place. The system is built based on substantial research and modern technology, offering a contemporary user experience.
Reviews & Testimonials
Mirra collaborated well with our operations and compliance teams to successfully design and implement a system that was innovative, efficient, and compliant with all Medicare and Florida Medicaid guidelines and requirements all within the scope of our required timeline.
We greatly benefitted from the Mirra Project Management Team’s regular communication with Stakeholders through monthly meetings and recurring weekly breakout-focused calls, which were geared towards troubleshooting and goal alignment. Mirra was able to quickly maneuver and adapt their systems to our needs, resulting in successful implementation and go-live. Mirra continues to support our compliant operation and growth in the ever-changing healthcare industry rapidly and effectively updating their systems with new Medicare and Florida Medicaid rates and guidelines to ensure seamless compliance and efficiency. I have absolutely no reservation in recommending their systems to any Payer searching for improvement in their operational efficiency."
NANCY GAREAUCEO of Ultimate Health Plans
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