Consent & Compliance for Insurance

Health plans face a unique combination of pressures: CMS and state regulations governing how members can be contacted, rising print and postage costs for required member communications, and members who increasingly expect the same digital-first experience they get from retail and banking apps. PossibleNOW helps health insurers capture and honor member consent and communication preferences at every touchpoint — reducing compliance risk while cutting the cost of paper-based outreach.

Health insurance members expect easy online access to information they need. Preference Centers provide members a simple way to manage their preferences and to sign up for electronic delivery of mandatory communications such as EOBs, claims information, membership packets, terms of use, and more.

As members transition to electronic delivery, carriers are positioned to save millions of dollars by reducing printing and postage costs.

Customers use property and casualty insurance for a wide variety of policies, including renter’s insurance, personal articles policies, vehicles, and real estate. They need confidence in the carrier’s ability to deliver policy and claim information efficiently and to handle their personal data appropriately and safely.

Companies can set themselves apart by utilizing well-designed online trust centers for policy holders to add or amend their profile and other zero-party data, including their preferences and consents for communications. Trust centers provide a simplified user experience and can be used to increase paperless adoption. Electronic delivery helps the carrier reduce time and costs of sending out large packets of paperwork by mail – claims, policies, and terms of use, while increasing customer satisfaction.

CMS consent requirements for Medicare and Medicaid marketing and enrollment communications continue to evolve, and health plans and their partners must be able to demonstrate compliant consent capture at every step. PossibleNOW helps you automate consent collection, centralize records, and stay audit-ready as CMS guidance changes.

It specifically prohibits personal beneficiary data collected by Third Party Marketing Organizations (TPMOs), for marketing or enrolling a person into a Medicare Advantage or Part D plan, from being shared with another TPMO unless prior express written consent is given by the Medicare enrollee.