Miramar:Enroll includes multi-channel intake and verification, full integration with CMS and real-time work queue distribution.
Miramar:Enroll has been designed specifically to serve the Medicare markets.
Our design evolved through the years to accommodate stringent CMS guidelines, intense service level requirements, and industry compliance and quality standards.
Compare this to others:
Systems that have been retrofitted to serve the Medicare population, relying more heavily on your health plan to monitor regulatory requirements as they pertain to the technology functions and processes.
Automatic triggers for the appropriate exhibits upon enrollment and TRR processing
Configurable work flows associated with member enrollment status
Timely and accurate reconciliation through automated processes
Full integration with premium payment information to respond quickly to member needs
Miramar:Enroll
Enrollment Intake
Eligibility Verification (BEQ)
Enrollment Processing
Enrollment Maintenance
Enrollment Verification
Eligibility Processing for Employer Groups
Incomplete Enrollment / Disenrollment Review
Disenrollment Processing
Cancellation Processing
Opt-Out Processing
Retro Processing
Good Cause Reinstatements
LEP Attestation Processing
Out of Area Processing
TRR Processing
BAE / LIS Override
CMS Reconciliation
Member Eligibility
Member Demographics
LIS Status
Enrollment Penalty
Telephonic Pre-enrollment and Enrollment
Marketing Campaign Tracking
PBM Eligibility Feed
PBM Reconciliation
Member Eligibility
LIS Status
Member Demographics
Broker Commission Data Feed
Work Queues
Exhibit Triggering
SmartWizards
Questions?
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