Premium Billing
Deliver the unparalleled experience your members expect by ensuring clarity and accuracy in premium calculations and management.
Added on to the Miramar:Member enrollment function, our solution automates adjustments related to any changes in member coverage. This provides you with a unified approach to managing premiums that guarantees member satisfaction at every interaction.
Premium billing solution features
- Accommodate SPAP, LIS, and LEP calculations effortlessly with our flexible rating structures.
- Respond promptly to retroactive coverage changes with our real-time premium adjustment feature.
- Gain insights into member payments through full integration with financial institutions, including check image capture.
- Enhance member communications with timely notifications and alerts embedded within our customizable invoice designs.
Unified billing solution for a seamless experience
This premium billing solution is a catalyst for operational excellence. Our suite of capabilities includes:
Premium Invoicing
Credit Card and ACH Payment Processing.
One-time Payment and Recurring Draft Options
Lockbox / E-Lockbox Integration
CMS and SSA Receivables Reconciliation
SPAP Management
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- Receivables Posting
- Payment Reconciliation
Refund Processing and Check File Generation
Failure to Pay Management
Good Cause Reinstatement Support
Financial Feed Reporting
SmartWizards for Intuitive Navigation
Optional Member Payment Portal
Why Miramar:Member for premium billing?
Medicare Mastery
Designed specifically for Medicare, our platform addresses the unique challenges faced by health plans in this space.
Prescription Drug Plans | Employer Group Waiver Plans |
Special Needs Plans | Medicare Advantage
Seamless Integration
From eligibility tracking to subsidy management, Miramar:Member streamlines complex processes, ensuring compliance and consumer satisfaction.
Customer-centric Design
Meet the rising expectations of modern consumers with personalized messages, alerts, and self-service tools that enhance engagement and satisfaction.
Real-time Insights
Stay informed and agile with instant access to critical data, empowering your team to deliver exceptional service and support.
Ready to learn more?
The right premium billing system is a strategic investment in the future success of your health plan. Join the ranks of industry leaders who trust us to drive success and transform the member experience. Request your personalized demo and discover how our technology and services can revolutionize your enrollment and premium billing operations.
Have questions or need assistance?
Our dedicated sales representatives are here to help. Contact us to connect with industry experts and find answers to your most pressing inquiries.
