Revolutionize
Medicare Member Customer Experience
We are committed to transforming the way your health plan representatives engage with your members.
Our Miramar:Member platform features an elevated member services function designed to streamline the Medicare member experience.
Elevate your Medicare member services with dynamic technology
This innovative, integrated multi-channel interface is designed to enhance the Medicare member customer experience.
By consolidating steps and addressing member needs through automation, we’re transforming how health plans interact with their members during their Medicare plan enrollment and premium billing interactions.
Comprehensive Medicare member customer service interface
Our advanced customer experience interface empowers contact center agents, both licensed and unlicensed, to provide exceptional service to your Medicare members.
This powerful tool aggregates crucial member data, including:
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Member-specific action items
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Automated alerts reconciled to member records
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Streamlined screen and system navigation
Core customer and member service capabilities
Streamline Processes
- Reduced navigation for customer service representatives with a quick view of member alerts and action items
- Script automation, including PHI confirmation
- Real-time member status updates and alerts
- Customizable note templates
- Automated exhibit triggering
Advanced Technology Integration
- CTI (computer telephony integration)
- RPA (robotic process automation) tools
- Self-service portals
- Multi-channel support
Self-Service Capabilities
- Click-to-chat
- Online payment interface
- Enhanced IVR for skill-based agent selection
Benefits for health plans
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Facilitate the enrollment process and store enrollment information
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Serves as a comprehensive CRM too
• Collects potential member information via plan inquiries
• Tracks broker information
• Captures related enrollment campaigns -
Reduce call times and contact center costs through increased agent efficiency
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Provide a user-friendly member-facing web portal
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Ensure CMS compliance
Enhance your Medicare member services
Our member services solution elevates the Miramar:Member platform by enabling compliant one-call resolution through:
Automated at-risk member identification
Member alerts and action items
PHI validation queues
Coverage determination and appeals intake
Efficient work queues for escalation and follow-up
Realize a better Medicare member services experience–where cutting-edge technology meets exceptional customer care.
Features and functions
Customer Experience Interface
Member Alerts and Action Items
Coverage Determination Intake
RPA – Robotic Process Automation Tools
Automated At-risk Member Identification
CTI Integration
Appeals Intake
Self Service Portals
Click-to-Chat
Work Queues
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- Escalation and Follow Up
PHI Validation Queues
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- Escalation and Follow Up
IVR Self Service Solutions
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.
