Reduce

Administrative burdens.
Manual processes.

How can you automate or outsource operations to achieve consistent results, improve service, and respond to a changing environment?

Focus resources where you need them

Leverage automation and outsourcing for improved efficiency, cost, and risk controls. Reducing manual processes offers increased operational flexibility, so staff can be deployed to respond to strategic opportunities.

Convey’s solutions deliver award-winning service and technology that sustain key activities: enrollment and billing, agent onboarding and oversight, supplemental and extra benefit management, and risk adjustment.

Choose solutions for your specific challenges

Enrollment, premium billing, and reconciliation

Our proprietary complete member enrollment and billing solution manages the entire process, from intake and verification to reporting and other related services. It integrates seamlessly with your existing platforms and systems and can be configured to your plan’s unique needs.

Meet members’ changing needs quickly with self-service solutions, personalized invoicing, automated adjustments for coverage changes, versatile payment options, and seamless integration with premium payment information.

Pair our technology platform with our managed, back-office services and secure not only your compliance with CMS but your members’ satisfaction.

Agent onboarding, oversight, and commissions

Simplify your plan’s sales agent onboarding requirements. Get out of spreadsheets and into an agent workflow engine with automated work queues, license updates, and configurable dashboards. Save money with our compliant core Medicare training and ensure your agents are ready to sell after meeting regulatory and plan requirements.

Enhance agent and broker relationships with accurate payments and control and execute compensation variables.

Supplemental and extra benefits

Miramar was built better to manage and support your sometimes overwhelming supplemental and extra benefits programs. We handle program administration, related benefit and flex cards, and engagement efforts. And leverage our complementary, dedicated contact center services to guide members through all benefit use decisions.

Streamline operations with our single solution for all your supplemental and extra benefits. Comprehensive reporting tools deliver analytics you can trust to comply with CMS requirements and to improve clinical outcomes and quality

Risk adjustment

Our self-service risk adjustment data platform, the Hub, helps your plan make informed decisions that improve performance and reduce risk. Its robust data dictionary and reporting library make it easy for your in-house risk adjustment teams to capture your population’s missed or miscalculated risk scores.

Uncover undocumented risk gaps, evaluate clinical initiative overlap, and appraise member cohorts and conditions with full access to your data and your analytics.

Engage the right partner

Through outsourcing, health plans gain consistent operational performance and access to partners’ expertise, innovation, and technology investments. Convey takes on the administrative burden for critical actions so you can focus on your core competencies, and has been doing so since 2001.

Let’s Talk

 

Increase efficiency and gain resource flexibility to focus on your core capabilities.