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

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

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.