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What is Miramar?

Miramar: Enroll provides a robust intake and verification system that operates across multiple channels, smoothly connecting with CMS and allowing for real-time distribution of work queues. With a strong operational synergy with health plans, we recognize the critical elements necessary for a successful Medicare plan administration solution. Our bespoke enterprise platform, Miramar, is equipped with dynamic workflows, advanced work queue features, SmartWizard tools, automated alerts, and reconciliation metrics that outshine the offerings of many conventional software providers. Successfully running government-sponsored health plan operations requires excelling in everyday management responsibilities. Through our tailored software solutions, you can focus on the key aim of refining processes to boost efficiency and ensure compliance. From managing data reconciliations to overseeing your sales workforce and tracking compliance, our solutions are crafted to seamlessly integrate with your current technological setup, allowing for swift activation of your teams and a notable enhancement of overall productivity. Moreover, utilizing our platform will empower you to adeptly handle the intricacies of Medicare administration, ensuring your organization remains flexible and responsive to evolving demands while staying ahead in a competitive landscape. In doing so, you will not only improve operational workflows but also foster a culture of continuous improvement within your organization.

What is AppealsPlus?

AppealsPlus™ is a cutting-edge cloud-based solution that automatically evaluates ERAs by applying targeted rules to sort ambiguous payments and denials into specific work queues, while also utilizing dashboards and key performance indicators for effective quantitative oversight that informs strategic choices. The regulatory environment is continuously changing and can alter unexpectedly, providing minimal time for both providers and their patients to adjust accordingly. Many providers grapple with uncertainty about their patients' ability or willingness to pay bills after procedures. A common misstep among research, vendors, and software developers is the realization that the term denial is interpreted differently by various physicians, billers, and institutions. To ensure that our solution aligns perfectly with your team's unique requirements, we will facilitate a customized implementation process that spans four weeks. After this initial setup, feel free to contact us anytime with questions or concerns, as we are dedicated to supporting you throughout your entire experience. This ongoing partnership allows for timely adjustments to be made, ultimately improving your overall satisfaction with our service. Additionally, we believe that consistent communication is key to a successful collaboration, ensuring that your needs are always met.

Media

Media

Integrations Supported

Axys

Integrations Supported

Axys

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Convey Health Solutions

Date Founded

2001

Company Location

United States

Company Website

conveyhealthsolutions.com/medicare-enrollment-software/

Company Facts

Organization Name

Etactics

Company Location

United States

Company Website

etactics.com/appealsplus

Categories and Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Categories and Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

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