A US health insurance brokerage company engaged Cappers, Inc. as their technical partner for their entry into US State and Federal Insurance Marketplaces. Working directly with the Center for Medicare & Medicaid Services (CMS) and third party auditors, Cappers planned, developed, tested, deployed and now services a secure, HIPAA-Compliant, turnkey, branded insurance quoting system which integrates seamlessly to provide Direct Enrollment (DE) and Enhanced Direct Enrollment (EDE) with www.healthcare.gov.
Cappers' first responsibility is always protecting its clients' best interests. In this case, that meant scoping the project for cost, feasibility, and budgeting to make sure the project was a good move for the client.
Cappers was responsible for planning, implementing, and servicing custom cloud-based architecture, to include automated secure communication with www.healthcare.gov and various third-party API service providers.
Cappers had to anticipate and protect against security threats, according to CMS regulations, and in cooperation with a third-party auditing company.
Beyond achieving and maintaining HIPAA Certification, Cappers had to process and adhere to thousands of pages of regulations during planning, execution, testing, and deployment phases.
The solution had to satisfy thousands of test case scenarios promulgated by CMS to simulate individuals and families with myriad health insurance needs and varying levels of plan qualifications.
Finally, Cappers is responsible for answering CMS questions during the final review stage.