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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
Contract Management
It provides a secure and efficient way to oversee payer and provider agreements while safeguarding sensitive data.
Network Management
A comprehensive Provider Data Management solution that meets the diverse operational requirements of health plans.
Reviews & Testimonials
"In 2021, Ultimate Health Plans (UHP) partnered with Mirra Health Care (Mirra) to develop a software platform to support processing Claims, Customer Service, Eligibility, Enrollment, Premium Billing, Encounter Processing and a Provider Portal for our Medicare Advantage Plans. 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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