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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 Availity?

Successful teamwork in patient care relies heavily on ongoing connectivity and access to current information. It is becoming ever more important to facilitate the flow of this information with insurance companies. Availity streamlines the collaboration with payers, assisting providers from the initial step of confirming a patient's eligibility all the way to resolving reimbursements. Healthcare professionals seek quick and easy access to details regarding health plans. With Availity Essentials, a free service supported by health plans, providers can take advantage of real-time data exchanges with many of the payers they regularly interact with. Moreover, Availity offers a premium service called Availity Essentials Pro that is designed to enhance revenue cycle performance, reduce claim denials, and secure patient payments more efficiently. By utilizing Availity as your reliable source for payer information, you can concentrate your efforts on providing high-quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions allow providers to seamlessly incorporate HIPAA transactions and other vital functions into their practice management systems, leading to improved operational efficiency. This holistic method not only supports healthcare providers in their operational tasks but also reinforces their ultimate goal of prioritizing patient well-being and satisfaction.

Media

Media

Integrations Supported

AZZLY
Accurint Crime Analysis
Bridger Insight XG
Cohere Unify
EZBIS
ElderSuite
InMyTeam
InvisaClaim
Juris
Lexis Advance Quicklaw
Lexis Omni
Lexis PSL
Nexis Data+
Nexis Diligence
Nexis Dossier
Nexis Social Analytics
VerifyRX
Vetriq
Visualfiles
eCitation

Integrations Supported

AZZLY
Accurint Crime Analysis
Bridger Insight XG
Cohere Unify
EZBIS
ElderSuite
InMyTeam
InvisaClaim
Juris
Lexis Advance Quicklaw
Lexis Omni
Lexis PSL
Nexis Data+
Nexis Diligence
Nexis Dossier
Nexis Social Analytics
VerifyRX
Vetriq
Visualfiles
eCitation

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

Availity

Company Location

United States

Company Website

www.availity.com

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

Hospital Management

Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management

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

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

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