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Network Management
Network Management
Mirra Health Care's Network Management software is a comprehensive Provider Data Management solution that meets the diverse operational requirements of health plans. Our managed network services encompass critical functions such as provider claims processing, utilization management, care management, and more, all seamlessly and securely integrated for your convenience.
Why is our Network Management Solution Preferred by Health Plans
Centralized Provider Data Repository
Our network management system serves as the central repository for provider data, delivering information as needed for various operational processes.
Comprehensive Provider Information
Captures physician and facility provider information, including demographics, identification, taxonomy, specialty, location, and more, all in one place.
High-Performance and Secure APIs
Ensures the performance and security of our APIs to facilitate seamless data exchange.
Seamless Integration
Our network management services seamlessly integrate with various products, supporting critical functions like Claims, Billing, utilization management, and Provider portal.
Reliable Source
Relies on a trusted and genuine source for physician and facility provider information.
User-Friendly Interface
Our user-friendly interface is customizable to align with specific plans or insurance company requirements.
Advanced Quality Assurance
We are committed to continually improving the quality of our services and the products we deliver.
Why is our Network Management Solution Preferred by Health Plans
Centralized Provider Data Repository
Our network management system serves as the central repository for provider data, delivering information as needed for various operational processes.
Comprehensive Provider Information
Captures physician and facility provider information, including demographics, identification, taxonomy, specialty, location, and more, all in one place.
High-Performance and Secure APIs
Ensures the performance and security of our APIs to facilitate seamless data exchange.
Seamless Integration
Our network management services seamlessly integrate with various products, supporting critical functions like Claims, Billing, utilization management, and Provider portal.
Reliable Source
Relies on a trusted and genuine source for physician and facility provider information.
User-Friendly Interface
Our user-friendly interface is customizable to align with specific plans or insurance company requirements.
Advanced Quality Assurance
We are committed to continually improving the quality of our services and the products we deliver.
Features at a glance
Easily search for Physician and Facility Providers using multiple search criteria, allowing for versatile combinations.
Validate Provider NPIs in real-time through NPI registry integration, ensuring that only valid NPIs are stored in the system.
Conveniently filter and sort search results for efficient provider data retrieval.
Seamlessly navigate between modules for a smooth user experience.
Prevent duplicate provider entries with NPI-based duplicate checks.
Validate location addresses using Smarty Street integration, ensuring only valid addresses are included in the system.
Each provider can have their location mapped only once to their profile, with duplicates checked based on location name and address.
Capture and manage hours of operation for each service location of a provider.
High-performance and secure APIs facilitate information sharing with other products.
Capture alias details for providers with multiple identifiers.
Adverse Action Tracking: Record adverse actions of providers based on CMS data.
Add comments for operational activities on the provider profile, maintaining a detailed activity log.
Administrators can efficiently manage user roles within the application.
Capture information history during updates in the activity log.
Tailored Migration Jobs: Designed to load plan-specific information into the system from the backend.
Integration with various products to support Claims, Billing, Utilization Management, Provider Portal, and more.
Conveniently redirect from the Network Management UI to the claims system.
Maintain a comprehensive activity log based on users' actions.
Download BrochureWhy choose MIRRA's® Network Management Solution?
At Mirra Health Care, we understand the unique needs of health plans and the critical role that provider data plays in their operations. Here are the key reasons why you should choose us:
Manage Physician and Facility Provider Information in One Place
Our Network Management solutions serve as a comprehensive repository for all your physician and facility provider information. Say goodbye to raw data and welcome a unified, easily accessible source for all your provider-related needs.
Secure Source for Providers Data with Compliance
Our platform ensures the security and integrity of your provider information while adhering to strict compliance standards. This gives you peace of mind that your data is protected, and compliant.
NPI Registry Integration for Real-Time Validation
With real-time NPI (National Provider Identifier) registry integration, we validate provider NPIs on the fly. This means you only work with verified, up to date NPIs, reducing errors and enhancing data accuracy.
User-Friendly Interface
Our Network Management offers a user-friendly interface designed with your convenience in mind. Easily navigate through our platform, modify functionalities to align with your plans or insurance company, and streamline your provider data management tasks.
Mirra Health Care is your trusted partner for efficient, secure, and comprehensive provider network management. Choose us for a seamless experience that enhances your health plan operations.
Reviews & Testimonials
NANCY GAREAUCEO of Ultimate Health Plans (Retired)
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