ENROLL

A comprehensive technology solution for Medicare enrollment administration.
Miramar:Enroll includes multi-channel intake and verification, full integration with CMS and real-time work queue distribution.

Miramar:Enroll has been designed specifically to serve the Medicare markets.

Our design evolved through the years to accommodate stringent CMS guidelines, intense service level requirements, and industry compliance and quality standards.

Compare this to others:

Systems that have been retrofitted to serve the Medicare population, relying more heavily on your health plan to monitor regulatory requirements as they pertain to the technology functions and processes.

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Automatic triggers for the appropriate exhibits upon enrollment and TRR processing

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Configurable work flows associated with member enrollment status

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Timely and accurate reconciliation through automated processes

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Full integration with premium payment information to
respond quickly to member needs

Miramar:Enroll

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Enrollment Intake

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Eligibility Verification (BEQ)

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Enrollment Processing

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Enrollment Maintenance

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Enrollment Verification

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Eligibility Processing for Employer Groups

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Incomplete Enrollment / Disenrollment Review

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Disenrollment Processing

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Cancellation Processing

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Opt-Out Processing

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Retro Processing

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Good Cause Reinstatements

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LEP Attestation Processing

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Out of Area Processing

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TRR Processing

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BAE / LIS Override

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CMS Reconciliation

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Member Eligibility

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Member Demographics

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LIS Status

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Enrollment Penalty

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Telephonic Pre-enrollment and Enrollment

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Marketing Campaign Tracking

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PBM Eligibility Feed

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PBM Reconciliation

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Member Eligibility

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LIS Status

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Member Demographics

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Broker Commission Data Feed

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Work Queues

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Exhibit Triggering

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SmartWizards

Questions?

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They will quickly get you in touch with the subject matter experts and ensure your detailed questions are answered.

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