PolicyLock deploys AI voice agents that call the treating provider, capture the chronic-condition attestation, and deliver the signed form to the carrier — before the 60-day verification clock runs out on your commission.
Works with every major carrier's chronic-condition verification workflow
Every CSNP enrollment starts a 60-day clock. If a treating provider doesn't confirm the chronic condition in writing, the member is disenrolled and your commission is clawed back. The bottleneck isn't the member — it's the provider's front desk.
The member self-attests a qualifying chronic condition at the point of sale. The application is accepted and the commission books.
CMS requires a treating provider to verify the diagnosis on a carrier attestation form. The office isn't returning faxes or calls.
Verification never lands. The member is removed from the plan, and the carrier reverses the commission you already earned.
One workflow runs the whole loop: from the moment a broker submits an enrollment to the signed form landing in the carrier's queue.
Voice agents validate the provider against NPPES, navigate the phone tree, and persist through holds until they reach someone who can attest.
The exact attestation form for each carrier is pre-templated, pre-filled from the enrollment, and routed for signature however the office prefers.
The completed form arrives in the carrier's fax queue or provider portal as if it came from the office — with a full audit trail behind it.
Submit an enrollment through the portal or API the moment it closes. PolicyLock runs the rest end-to-end and only bills you when the policy is saved.
Member info, plan, qualifying condition, provider NPI, and the member's signed authorization — via portal or API.
NPPES lookup validates the treating provider and pulls the office phone and fax of record.
The voice agent calls, clears the front desk, and confirms the diagnosis is documented in the chart.
Verbal attestation recorded, then routed to e-sign or HIPAA-eligible fax — whichever the office will actually complete.
OCR checks the returned form, then routes it to the carrier's queue with the provider as the origin.
Status posts back to your CRM. You're billed only once the policy clears verification.
You just need the policy to stick. PolicyLock takes on the verification — and the member and provider details that come with it — so the form flows as if the provider sent it directly, with the controls a CMS marketing audit expects behind it.
A Business Associate Agreement is in place with every brokerage we work with before a single record moves.
PHI is encrypted in transit and at rest, with access scoped to the ticket it belongs to.
Who touched what, when, and how it was delivered — a defensible record for every form.
The release the member signs at enrollment names PolicyLock as a permitted recipient for verification.
Document transport runs on BAA-backed services — never consumer fax or generic e-sign tiers.
The completed form reaches the carrier showing the provider's office as the sender, not a broker.
No platform fee, no per-seat license. PolicyLock is billed contingent on a successful verification before the clock runs out — so the math is always in your favor.
For independent agents and small books. One flat rate, billed only on verified saves — no platform fee.
For FMOs routing thousands of enrollments. Lower per-save rate, API intake, and multi-vertical coverage.
Estimate the annual commission your agency stands to lose to unverified CSNP enrollments — and what PolicyLock would protect.
Bring us a sample of at-risk enrollments and we'll show you how many we'd save — before you pay a cent.