Member intake shouldn't run on paper and re-keyed data.
We modernize enrollment, health declarations, underwriting workflows, and claims intake for health insurers, health plans, and TPAs — integrated with the systems you already run, with the business live the whole time.
Built for health insurers, health plans, and TPAs
We work with health insurers, prepaid health plans, and the TPAs that administer health products for them. Intake still depends on forms members fill out by hand, documents that arrive by email, and staff re-keying medical information into the systems that actually evaluate risk and pay claims.
We replace those manual bridges with digital workflows built on top of your existing enrollment, evaluation, and claims systems. Inspiration Factory is led by Alonso Molina, who has spent more than fifteen years keeping mission-critical systems running in regulated industries — including a health-insurance processor.
Four things that bring health operations to us
Applications and health declarations arrive on paper or PDF and get keyed in by hand.
Underwriting and risk evaluation wait on manual review that your volume outgrew years ago.
Member documents — declarations, medical reports, claims — live in inboxes instead of workflows.
Members expect to enroll, declare, and claim online, and the tools aren't there.
We modernize the member-facing and back-office workflows around your core systems:
Digital enrollment and health declarations. Guided intake portals that validate as members type, replacing paper forms and manual keying.
Underwriting and risk evaluation workflows. Rules-driven evaluation integrated with intake, so routine cases flow through and your specialists handle the exceptions.
Member document handling. Automatic classification and routing of declarations, medical reports, and claims documents.
Claims and reimbursement intake. Digital first notice with identity checks and document handling, integrated with your claims core.
We do not touch the regulated core. We build the member-facing and workflow layer around it — inside your environment and your compliance program.
Health declaration portal + risk evaluation engine — Bupa Chile
A paper health-declaration process replaced with a real-time digital portal and a risk evaluation engine we also built.
Applicants used to fill out paper health declarations that were manually reviewed and keyed into the risk evaluation system. We replaced the workflow front to back: a guided digital intake portal, integrated in real time with a risk evaluation engine we built alongside it. Both systems have been in production for years.
“Working with this team has been key to our operation at Bupa. They are not just a vendor that listens. They are a strategic partner that delivers impeccable management and a cost-benefit ratio aligned with today's market demands.”
Health data
Health data stays where it belongs.
We build inside your environment and your controls. Member health information stays in your systems and your cloud — we do not host or centralize it to deliver the work.
Tell us the framework you answer to — HIPAA, your local health-data law, or your internal program — and we work inside your controls, audits, and reviews.
Start the conversation
Let's talk about the system you can't take offline.
A short, focused conversation with the senior team about where your operation is bottlenecked and what a modernization path looks like. No pitch, no obligation, and you leave with our read on it.
No sales pitch. A 45-minute conversation about your operation.