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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:

  • Member-specific action items
  • Automated alerts reconciled to member records
  • 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

  • Facilitate the enrollment process and store enrollment information
  • 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
  • Provide a user-friendly member-facing web portal
  • 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

  • Escalation and Follow Up

PHI Validation Queues

  • 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.

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