MIR Express™

Section 111 Mandatory Insurer Reporting

User-friendly, secure, web-based system.MIR Express Software

MIR Express™ is a purpose-built solution for managing Mandatory Insurer Reporting required by the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) Section 111. Managing these requirements can be challenging. With MIR Express, you get a clear picture of insurer reporting requirements so that you can submit successfully with minimal complexity.

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What are the Key Features of MIR Express?

MIR Express provides features designed specifically for non-group health plan (NGHP) mandatory insurer reporting. APP Tech continuously updates the system to maintain compliance with all requirements set by the Centers for Medicare and Medicaid Services (CMS), to streamline the entire reporting process.

Features of MIR Express include:
  • Data pre-validation with a 99.9% acceptance rate
  • Guaranteed on-time reporting to CMS during assigned reporting periods
  • Automated monthly and quarterly submissions
  • All required CMS testing
  • EDI and API integration with most claims systems
  • White-labeling opportunities for qualified partners

MIR Express is an unbundled service, with no additional Mandatory Secondary Payer (MSP) services or contracts required. We apply flat-rate pricing to the system, and we provide ongoing support for the platform.

What are the Benefits of MIR Express? Lines of Business Desktop

Adding MIR Express for Section 111 Reporting to your workflow can help your company:

  • Minimize exposure to Civil Money Penalties (CMP): With pre-validation, MIR Express helps you make corrections to reports before sending them to CMS. Our submission acceptance rate of above 99.9% maximizes compliance and minimizes potential reporting penalties.
  • Streamline claims reporting: The Mandatory Insurer Reporting process can be a challenge, especially with the many, frequently changing regulations. With MIR Express, administrative teams can complete claims faster and gain back more time to focus on other processes.

MMSEA Section 111 Compliance ReportingCloud Claims

Section 111 of the MMSEA has myriad reporting requirements for NGHP responsible reporting entities. These technical, complex rules not only define who is classified as a responsible reporting entity (RRE), but the hundreds of data points required for reporting, and the penalties for non-compliance.

Understanding these regulations can be helpful in the use of MIR Express.

Learn more at CMS.gov

Frequently Asked Questions

What makes MIR Express different from other Section 111 reporting solutions?

MIR Express is a fully unbundled, flat-rate-priced tool. There are no required MSP services or add-on contracts, which sets it apart from solutions that bundle reporting software with managed services you may not need. It is a web-based system built specifically for NGHP Mandatory Insurer Reporting with a proprietary pre-validation engine that ensures problems in your data are caught before files are sent to CMS with above 99.9% accuracy. It is accessible from any device and updated continuously by APP Tech as CMS requirements change. No manual upgrades on your end.

Does MIR Express integrate with my existing claims system?

Yes. MIR Express offers both EDI and API integration with most claims systems, so you don’t have to re-enter data manually between platforms. It’s also fully integrated with APP Tech’s Cloud Claims software for organizations that want a single end-to-end solution covering both claims management and Section 111 compliance. If you’re using a different claims system, the APP Tech team can walk through integration options during a demo.

How does pre-validation help reduce your compliance risk?

Section 111 civil money penalties (CMPs) can reach over $1,500 per claim per day, so late submissions due to errors can become expensive. To avoid penalties, MIR Express proactively validates your data in real time, before it’s sent to CMS. It then flags issues so they can be corrected upfront rather than triggering rejections you’d need to scramble to fix. This is how MIR Express maintains an acceptance rate above 99.9% and helps RREs minimize their CMP exposure.

My claims system doesn’t support all the data fields needed for Section 111. Can MIR Express still help?

Absolutely. MIR Express offers web-based entry and can seamlessly merge claims data from your in-house system with data entered on the web. Single sign-on (SSO) between your organization and APP Tech means you can move between your in-house claims system and MIR Express seamlessly.

What kind of support and updates come with MIR Express?

MIR Express includes ongoing platform support and all required CMS testing at no additional charge. Because CMS regulations change frequently, APP Tech continuously updates the system to stay aligned with current requirements. This means your team doesn’t have to track every CMS bulletin and adjust your process accordingly.

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Since we are, after all, a service organization, we hope you’ll feel free to get in touch with us with questions, comments, requests for information, or any other ways in which we might be of help. And as we suggested on the Products page, we have every intention of providing support for all of our products for as long as they’re in use.

We look forward to hearing from you.

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