Cavulus|Capture is a modern, flexible form technology purpose-built for health insurance. From simple lead capture to fully compliant CMS enrollment applications — white-labeled, brandable, and easy to embed.
Fully compliant stepped enrollment with validation, beneficiary-friendly sequencing, and real-time error handling.
Lightweight forms that qualify prospects and route them into your CRM or enrollment flow.
Structured intake forms for plan information, coverage questions, and agent callbacks.
Registration and attendance capture for Medicare educational events and plan presentations.
Fulfillment forms for SOBs, ANOCs, and plan materials — with address capture and preference selection.
Embeddable, branded mini-forms for campaign landing pages and partner sites.
Our CMS enrollment application is designed around the beneficiary — not the regulator's checklist. Stepped sequencing, plain-language validation, and an intuitive flow guides seniors from first question to submitted application without confusion or drop-off.
Our forms are production-ready for Medicare Advantage today. The same platform supports Commercial, Group, ACA/Marketplace, Medicaid, and more — one form technology for your entire book of business.
"We saved on web development and replaced three form vendors with Capture. Our enrollment form was live in a week and our site drop-off rate dropped dramatically."
We'll stand up a branded demo with your forms — usually within 48 hours.
Request a branded demo →