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Integrate Healthcare Insurance & HIPAA eCommerce

HIPAA Development Can be Tough. Let the Experts Integrate Your eCommerce With Your HIPAA Compliant Needs
Incorporating Insurance Information Securely

Medical Insurance Integration

HIPAA eCommerce can be merged with user information so their interactions within the HIPAA eCommerce site can be enriched. In regard to insurance, it is possible to incorporate specific insurance information allowing the users to see insurance specific options within the website.

For example, a user may have a specific insurance or possibly have access to certain Medicare and Medicaid capabilities. As such, they would want to be able to easily see and understand if something on the said is covered by their insurance. Furthermore, they would need to also see the insurance specific pricing. You want this information to be dynamically shown, allowing them to see things based on their prescription, and then to see insurance coverage and/or financial support.

Unique Experience and Data For Each User

Dynamically Display User-Specific Information

From a data perspective, this can be rather complicated and detailed. You’re looking to present the end user specific data and information based on their insurance or Medicare and Medicaid access. However, there may be a handful of products that apply only to specific things, such as Medicaid. This means there may be a specific algorithm that can provide some form of estimation or messages on the site.

For example, you can modify the workflows to change based on if a patient is attempting to use insurance of a credit card. During the checkout process and fulfillment process, there is a different workflow depending on if the insurance will fully cover the purchase. If not, the rest of the cost will be pushed back to the user, where they can then complete their payment. Once settled, the fulfillment can continue as normal. The end user may then get an email with a final status or analysis once they have completed payment.

It is also possible to put a credit hold on a credit card. This way the user can attempt to process the payment through insurance, and then whatever is not processed or accepted by the insurance company can then get processed through the credit card. This is called a “pre-authorization.” In other words, the funds are held, but not actually processed.

Evolving as Your Business Grows

Utilizing HIPAA eCommerce Capabilities

Ultimately, if you are setting up a HIPAA eCommerce site and you want to offer insurance options to the end user, then you can definitely do that. Through HIPAA eCommerce you can pull this private health information (PHI) and tokenize it and store it on behalf of the user, associating it with their account. They can then incorporate it into their purchasing process whenever checking out or processing a recurring payment.

It is possible that a user may wish the change this information, be it insurance or credit card. They could change or even expire, so you want some sort of messaging system set up. This way you can alter the user if there are any changes that were made and if their insurance has expired or was rejected. You could also notify the user ahead of time if their insurance is closing in on its expiration date.

When someone enters information into the site, it could be incredibly helpful to provide them with a graphic in order to show them where they are in the process. This allows them to understand what the next step is in for them to be able to utilize their insurance information.

It is up to the business how they want to utilize HIPAA eCommerce, but it can be a major opportunity to expand the usage for end users when they process their payments and engage with the site. By tying insurance usage into the site, they can then look into purchasing more expensive items that may be otherwise inaccessible to them.

How Can Clarity Help

Clarity HIPAA Insurance Integration Experts

We strongly recommend you to consider the capabilities of your future HIPAA eCommerce platform around insurance and Medicare and Medicaid. We encourage you to have a detailed process and step-by-step engagement with your users, allowing them an easy to understand interaction when entering this PHI. It’s important to know just how robust you’d like your patient interaction to be when it comes to insurance.

Please feel free to contact us here at Clarity if you have any further questions. We would be happy to provide you with a complimentary review session with you and your team in order to help you best prepare for your potential HIPAA eCommerce project. To help you even further, we have provided you with a list of more resources below providing further information about HIPAA eCommerce. Thank you, and we look forward to hearing from you.

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