CMS-Compliant OTC Services
As the market-leading provider of supplemental OTC benefit administration services, we deliver the OTC solutions that members genuinely appreciate.
Supported by both our Miramar technology and administrative services, we provide a proven OTC benefits program that reduces the burden, and expense, from your team having to support the program–allowing you to focus on your core competencies.
Explore our mail order, benefit card, mobile, and web solution.
10+ Years Administering the OTC Benefits Program
Through our experience serving
3.5+ million plan members, we have the expertise needed to provide comprehensive, member-centric OTC services.
We provide everything needed to ensure the success of your supplemental OTC programs.
Exceptional service to your membership
Product procurement and delivery to the member’s home
OTC catalog product selection, printing, mailing, and hosting
Multi-channel member outreach capabilities
Clinical and chronic condition program alignment
Comprehensive & Integrated OTC Technology
Specifically built to manage and support the supplemental benefits program, Miramar:OTC easily exchanges member data with client interfaces, empowering both advocates and members to navigate the OTC program with ease.
Eligibility file processing - from all formats
Member interaction and benefit tracking
Shipping, mailing, app, web, retail, and dialer integration
Flexible, configurable benefit design
Role-based security measures
Comprehensive CMS reporting
OTC member website and mobile app technology
Working with our technology team to properly maintain our operations and IT systems (HIPAA, PHI, PCI, Privacy and Security), our compliance team focuses on upholding all regulatory requirements
Full compliance with CMS regulations and internal quality assurance
Adherence to the Seven Fundamental Elements of an Effective Compliance Program (OIG)
Collaboration with your compliance team
“We are making the OTC benefit program a positive and successful experience for health plans and their members by using our purpose-built technology to seamlessly integrate member eligibility, benefit management, and comprehensive compliance monitoring.”
– Jonathan Starr, Executive Vice President for Convey Health Solutions