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What is PlanXpand?

PlanXpand™ is a cutting-edge transaction processing engine crafted by Acero, designed to support all products tailored for health benefits administrators. This innovative system empowers clients to adopt Acero’s solutions either in full or incrementally, providing them with the versatility to fit their unique operational needs. In addition to choosing from a comprehensive selection of standard products, administrators are encouraged to leverage PlanXpand™ to develop customized solutions that enhance their existing system functionalities. Acero stands out with its distinctive, integrated offerings that utilize a Service-Oriented Architecture, allowing health benefits administrators and insurers to seamlessly expand their current adjudication platforms with added features and capabilities. The sophisticated design and engineering behind our solutions enable real-time adjudication for all types of claims, which directly interfaces with the core claims system, enhancing processing accuracy, boosting customer satisfaction, and minimizing the need for claims adjustments. This remarkable adaptability and meticulous precision in claims processing not only enhances operational efficiency but also reinforces Acero’s position as a frontrunner in the health benefits administration industry. Ultimately, our commitment to innovation ensures that clients can navigate the complexities of health benefits management with confidence and ease.

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.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

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

Acero Health Technologies

Company Location

United States

Company Website

acerohealth.com

Company Facts

Organization Name

Convey Health Solutions

Date Founded

2001

Company Location

United States

Company Website

conveyhealthsolutions.com/medicare-enrollment-software/

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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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