Explore Our Technologies

Software Solutions for Health Plans

Miramar – Enrollment & Billing Technology

Our built-for-purpose platform is constructed to compliantly handle Centers for Medicare and Medicaid Services processes complete with reporting and analytics. In fact, compliance is core to who we are. Furthermore, our secure platform is robust and highly scalable. And, while most plan sponsors use several systems, we’ve built a single integrated platform to handle many processes.

If you only require a specific function, the technology is modular and can seamlessly integrate with your existing platforms.

Full enrollment management, from intake and verification to reporting back to the health plan Miramar:Enroll can also handle all cases of disenrollment, re-enrollment, PBM and CMS reconciliations and reporting. Learn More >

With premium billing invoicing and payment processing Miramar:Bill will monitor and manage all functions such as good cause reinstatements, failure to pay, refund processing, CMS & SSA reconciliation, and lockbox/ e-lockbox integration. Learn More >

Grievances and inbound appeals are managed within Miramar:Resolve – research, tracking and resolution including all reporting and analysis for your health plan. Learn More >

Miramar:Capture manages all inbound and returned mail – including enrollment and privacy forms, coordination of benefits, and best available evidence. Learn More >

Miramar:Fulfill – outbound mail processing including automated letter triggering, image retention, barcoding, tracking, inventory management, and quality control. Learn More >

Miramar:Connect consolidates steps and addresses member needs with dynamic member services and customer experience technology. Learn More >

Gorman Health Group Software Solutions

Built to exceed industry best practices and federal government expectations, Gorman Health Group offers enterprise-wide software solutions to assist your organization in maintaining compliance while executing complex processes and optimizing revenue. From agent management to appeals and grievances, membership and financial management, Medicare training, and real-time business intel – we eliminate redundancies, rationalize work streams, and minimize operational risk exposure translating your business strategies into practical, efficient work processes.

Questions?

Contact one of our sales representatives to learn more.
They will quickly get you in touch with the subject matter experts and ensure your detailed questions are answered.