Health Risk Assessment & Wellness Appointments

Assess member risk. Book the first visit.

RiskVitals helps ACA carriers determine health risk on newly enrolled members through digital HRA questionnaires, then empowers brokers to secure the first annual wellness appointment — driving utilization and improving outcomes from day one.

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Trusted by ACA carriers and agents nationwide

500+ Licensed Agents
50+ ACA Carriers
10,000+ HRAs Completed
50 States Covered
Features

Risk assessment meets care access

Two powerful capabilities in one platform: identify member health risk at enrollment, then connect them to care immediately.

For Carriers

Know your members' health risk from day one

Digital HRA questionnaires capture health data at enrollment, giving carriers immediate visibility into the risk profile of newly added consumers. Configurable by plan, state, and enrollment year.

  • Carrier-configurable HRA forms
  • Risk factor identification at enrollment
  • Multi-tenant architecture per carrier
  • Real-time enrollment analytics
For Agents & Brokers

Book the first wellness visit, boost utilization

Agents search in-network providers, find the closest match by specialty and location, and secure the member's first annual wellness appointment — all before enrollment wraps up.

  • In-network provider search
  • Geocoded proximity matching
  • First wellness appointment booking
  • Carrier utilization rate improvement
For Members

Simple enrollment, care on day one

Members complete identity verification, fill out health questionnaires, sign consent documents, and walk away with their first doctor appointment already booked.

  • Guided enrollment flow
  • Secure ID verification
  • Digital HRA questionnaires
  • First appointment before enrollment ends
How It Works

From enrollment to first visit, in four steps

A streamlined workflow that captures health risk data and connects members to care before enrollment ends.

01

Carrier Configures

Carriers set up HRA questionnaire forms, upload provider networks, define state-specific agreements, and configure enrollment requirements per plan and year.

02

Agent Onboards & Verifies

Agents register with their NPN, get instantly NIPR-verified, complete ID proofing, and digitally sign carrier agreements across all active states.

03

Member Completes HRA

Members verify their identity, complete the carrier's health risk assessment questionnaire, and sign all consent documents electronically.

04

Broker Books First Appointment

The agent searches in-network providers, finds the closest match, and books the member's first annual wellness visit — driving carrier utilization from day one.

Platform

Built for healthcare, designed for scale

Enterprise-grade infrastructure with the compliance, security, and verification features your carrier requires.

Health Risk Assessment

Carrier-configurable HRA questionnaires capture health data at enrollment, enabling risk stratification from day one.

Appointment Booking

Brokers search in-network providers and book the member's first annual wellness appointment, increasing carrier utilization rates.

Electronic Consent

OTP-verified digital signatures with full device tracking and audit trails for HIPAA-compliant consent management.

NIPR Agent Verification

Instant license verification through NIPR using NPN, with multi-state licensing and carrier appointment tracking.

ID Proofing

Government ID scanning with facial recognition for secure identity verification of agents and members.

Multi-State Compliance

Automated state-specific agreement management, carrier contract templates, and multi-state agent licensing across all 50 states.

Get Started

Ready to assess risk and drive utilization?

Schedule a demo to see how RiskVitals helps carriers understand member health risk at enrollment and empowers brokers to book the first wellness appointment.

Built by

Nextere LLC

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