Name: Miramar
Rating: 8 (1 reviews)
Author: Convey Health Solutions

Help Desk

Web and Video Conferencing

Customer Support

Batch Management Software

Product Lifecycle Management (PLM)

Development

Business Intelligence (BI)

Collaboration

Digital Rights Management (DRM)

Enhanced 911 (E911)

Facility Management

IP PBX

Operational Analytics

Policy Management

Enterprise

Accounting

Invoicing

Nonprofit Accounting

Subscription Management

Finance and Accounting

Applicant Tracking

Corporate Learning Management

Employee Recognition

Employee Scheduling

HR Management

Payroll

Stock Option Plan Administration

Talent Intelligence

Talent Management

Workforce Analytics

Workforce Management

Human Resources

Application Performance Management (APM)

Archiving

Build Automation

Cloud Cost Management

Cloud Storage

Code Review

Configuration Management Databases

Data Mapping

Density-Optimized Servers

Email Encryption

Firewall Security Management

Fraud Detection

IP Address Management (IPAM)

IT Service Providers

Integration Platform as a Service (iPaaS)

Log Management

Managed DNS

Network Performance Monitoring

Software-Defined WAN

System Monitoring

Web Scraping

WiFi Hotspot

Workload Automation

Information Technology

A/B Testing

Ad Serving & Retargeting

All-in-One Marketing

Audio Editing

Content Management

Email Deliverability

Email Marketing

Marketing Automation

Online Proofing

Search Engine Marketing (SEM)

Social Media Management

Social Media Marketing

Survey & Forms Building

Web Analytics

Marketing

Job Site Management

Project Management

Waste Management

Writing and Proofreading Tools

Professional Services

Customer Relationship Management (CRM)

Product Configuration

Social Commerce

Sales

Laboratory Information Management

Membership Management

Roofing

Vertical-Specific

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Miramar Technologies, developed by Convey Health Solutions, is an enterprise healthcare technology solution designed specifically for the government-sponsored healthcare markets. According to the vendor, this platform caters to health plan providers, government-sponsored plans, Medicare plans, Medicaid plans, and pharmacy benefit managers of various sizes. Miramar offers a range of features to support member services, enrollment, premium billing, data analytics, and administration of supplemental benefits.

## Key Features

**Miramar: Convey's Enterprise Healthcare Technology Solution**: According to the vendor, this purpose-built platform is designed for government-sponsored healthcare markets, managing Medicare Advantage, prescription drug, and group programs. It provides support for member services, enrollment, premium billing, data analytics, and administration of supplemental benefits.

**Enrollment & Billing Technology**: The vendor claims that this feature offers dynamic flow and advanced work queue features, smartWizard utilities, automated alerts, and reconciliation rates that surpass traditional software vendors.

**Strategic & Operational Health Plan Management Solutions**: According to the vendor, this feature streamlines day-to-day operations with solutions for data reconciliation, sales force management, and compliance monitoring. It can seamlessly integrate into existing technology infrastructure.

**Healthcare Data Analytics**: The vendor states that this feature transforms raw data into actionable predictions by harmonizing clinical, claims, and SDOH data sources. It aims to enable revenue and payment integrity optimization.

**Miramar:Enroll**: According to the vendor, this feature provides full enrollment management from intake to reporting. It offers automated case handling for disenrollment, re-enrollment, and reconciliations. The vendor claims that it can be deployed as a modular solution for SaaS or BPaaS.

**Miramar:Bill**: The vendor claims that this feature enables custom invoicing, flexible payment methodologies, real-time premium adjustments, integration with premium payment information, and ensures complete adherence to CMS and SSA receivables reconciliation.

**Miramar:Resolve**: According to the vendor, this feature offers a robust appeals and grievance solution with compliance-focused case handling and resolution. It includes root cause analysis and process improvement for long-term grievance reduction.

**Miramar:Capture**: This feature aims to manage inbound and returned Medicare member mail. According to the vendor, it features flexible form capture requirements, automated workflows, and document triggering integration for enrollment, billing, and grievance processes.

**Miramar:Fulfill**: The vendor claims that this feature provides document fulfillment technology and services with mail stream tracking, fulfillment quality control, dedicated operational oversight, and inventory management.

**Miramar:Connect**: According to the vendor, this feature delivers dynamic Medicare member services and customer experience technology through an integrated, multi-channel system. It includes automation capabilities, enhanced IVR, customer experience interface, and self-service portals.

WebPT

AxisCare Home Care Software

Miramar

Medical Billing software specifically automates invoicing and payment collection. That entails generating invoices for orders, invoicing templates for different kinds of invoices, electronic billing, and facilitating the claims process.

Medical billing software should integrate with accounting software, and also practice management software for a seamless experience. Also, the Health Insurance Portability and Accountability Act (HIPAA) governs payment processes between a patient and their healthcare provider, so medical billing software must be HIPAA compliant.

Medical Billing

Convey Health Solutions

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Medical Billing Software

Miramar

Overview

What is Miramar?