HIPAA Compliant • CMS Ready

Medicare Client Intake, Simplified & Compliant

Send a single secure link. Capture prescriptions, doctors, hospitals, and pharmacies. Generate SOA documents and client summaries automatically. Stay compliant, effortlessly.

HIPAA Compliant
256-bit Encryption
SOA & PTC Auto-Generated
48-Hour Rule Tracking

Everything You Need for Medicare Compliance

From client intake to document generation, EnrollSure handles the entire compliance workflow.

Secure Survey Links

Send a single UUID-based link to each prospect. Links auto-expire after 30 days for security.

Complete Intake Capture

Collect prescriptions, doctors, hospitals, and pharmacies in a bilingual English/Spanish form.

Auto SOA Generation

Scope of Appointment documents generated automatically with timestamps and compliance data.

PTC & 48-Hour Tracking

Permission to Contact captured with IP and timestamp. 48-hour rule compliance built in.

Agent Microsites

Each agent gets a branded public profile with bio, licenses, reviews, and referral links.

CRM Integration

Sync beneficiary data to your CRM via webhooks. Field mapping and audit trails included.

Multi-Tenant Isolation

Agency-level accounts with downline agents. Strict data isolation between organizations.

PDF Artifacts

Client summary reports and SOA documents generated as downloadable, compliant PDFs.

Audit Logging

Every action logged with timestamps, IP addresses, and user attribution for compliance.

How It Works

Three simple steps from prospect to compliant documentation.

1

Send a Secure Link

Generate a unique, expiring survey link from your dashboard and share it with your prospect via email, text, or any channel.

2

Prospect Completes Intake

Your prospect fills out their prescriptions, doctors, hospitals, and pharmacies. PTC and SOA consent captured with timestamps.

3

Review & Download

Access the submission in your dashboard. Download auto-generated SOA and client summary PDFs. Sync to your CRM.

Simple, Transparent Pricing

Start free and upgrade when you need unlimited access.

Free

$0/forever

Perfect for getting started

  • 1 client survey completion
  • SOA & summary PDF generation
  • Agent microsite & reviews
  • Bilingual EN/ES support
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Pro

$250/year

For active Medicare agents

  • Unlimited survey completions
  • CSV client list upload
  • CRM webhook integration
  • Everything in Free, plus more
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Join agents who trust EnrollSure for compliant client intake and documentation.