www.bigwavesystems.com
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141.193.213.21
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Submitted URL: https://www.customerconsentondemand.com/
Effective URL: https://www.bigwavesystems.com/consent-on-demand/
Submission: On October 03 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://www.bigwavesystems.com/consent-on-demand/
Submission: On October 03 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 3 forms found in the DOM
GET https://www.bigwavesystems.com/
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<div class="fusion-search-form-content">
<div class="fusion-search-field search-field">
<label><span class="screen-reader-text">Search for:</span>
<input type="search" value="" name="s" class="s" placeholder="Search..." required="" aria-required="true" aria-label="Search...">
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</div>
<div class="fusion-search-button search-button">
<input type="submit" class="fusion-search-submit searchsubmit" aria-label="Search" value="">
</div>
</div>
</form>GET https://www.bigwavesystems.com/
<form role="search" class="searchform fusion-search-form fusion-search-form-clean" method="get" action="https://www.bigwavesystems.com/">
<div class="fusion-search-form-content">
<div class="fusion-search-field search-field">
<label><span class="screen-reader-text">Search for:</span>
<input type="search" value="" name="s" class="s" placeholder="Search..." required="" aria-required="true" aria-label="Search...">
</label>
</div>
<div class="fusion-search-button search-button">
<input type="submit" class="fusion-search-submit searchsubmit" aria-label="Search" value="">
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</div>
</form>POST /consent-on-demand/#gf_1
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data-js-reload="field_1_2"><label class="gfield_label gform-field-label" for="input_1_2">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_2" id="input_1_2" type="email" value="" class="large" placeholder="Email *" aria-required="true" aria-invalid="false">
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<div id="field_1_6"
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data-js-reload="field_1_6"><label class="gfield_label gform-field-label" for="input_1_6">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_6" id="input_1_6" type="tel" value="" class="large" placeholder="Phone Number *" aria-required="true" aria-invalid="false"></div>
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data-js-reload="field_1_7"><label class="gfield_label gform-field-label" for="input_1_7">Industry<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_1_7" type="text" value="" class="large" placeholder="Industry *" aria-required="true" aria-invalid="false"> </div>
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<div id="field_1_8"
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data-js-reload="field_1_8"><label class="gfield_label gform-field-label" for="input_1_8">Zip Code<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_8" id="input_1_8" type="text" value="" class="large" placeholder="Zip Code *" aria-required="true" aria-invalid="false"> </div>
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<label class="gfield_label gform-field-label" for="input_1_3">Message</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_3" id="input_1_3" class="textarea small" placeholder="Message" aria-invalid="false" rows="10" cols="50"></textarea></div>
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<div id="field_1_9" class="gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_1_9"><label class="gfield_label gform-field-label" for="input_1_9">reCAPTCHA</label>
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class="gfield_label gform-field-label" for="input_1_10">Comments</label>
<div class="gfield_description" id="gfield_description_1_10">This field is for validation purposes and should be left unchanged.</div>
<div class="ginput_container"><input name="input_10" id="input_1_10" type="text" value="" autocomplete="new-password"></div>
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<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Send"
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<p style="display: none !important;" class="akismet-fields-container" data-prefix="ak_"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js"
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</form>Text Content
Skip to content Search for: * Home * Products * Help On Demand * Consent On Demand * Connections On Demand * Lead Distribution On Demand * Industries * Healthcare * Home Services * Legal * Mortgage * Insurance * About * News * FAQs * Demo * Log In * Help on Demand * Consent on Demand Search for: * Home * Products * Help On Demand * Consent On Demand * Connections On Demand * Lead Distribution On Demand * Industries * Healthcare * Home Services * Legal * Mortgage * Insurance * About * News * FAQs * Demo * Log In * Help on Demand * Consent on Demand * Home * Products * Help On Demand * Consent On Demand * Connections On Demand * Lead Distribution On Demand * Industries * Healthcare * Home Services * Legal * Mortgage * Insurance * About * News * FAQs * Demo * Log In * Help on Demand * Consent on Demand Login * Help on Demand * Consent on Demand * Home * Products * Help On Demand * Consent On Demand * Connections On Demand * Lead Distribution On Demand * Industries * Healthcare * Home Services * Legal * Mortgage * Insurance * About * News * FAQs * Demo * Log In * Help on Demand * Consent on Demand * Home * Products * Help On Demand * Consent On Demand * Connections On Demand * Lead Distribution On Demand * Industries * Healthcare * Home Services * Legal * Mortgage * Insurance * About * News * FAQs * Demo * Log In * Help on Demand * Consent on Demand Consent On DemandMichael Jaramillo2024-06-18T19:40:37+00:00 EASY, AFFORDABLE, SECURE CONSUMER CONSENT AT YOUR FINGERTIPS! Start Your Free Trial SIMPLE YET POWERFUL FEATURES. AGENT/BROKERS – this product is perfect for ACA Consent Requirements Easy for your clients to use … and you Consent On Demand is designed to be simple and easy. The intuitive interface doesn’t required any uploads, or app downloads. Whether you’re managing consent for policy changes, work order changes, or anything you need a quick approval for, this is your cost effective solution. Send Consents via email or text quickly & effortlessly Accessible anywhere – use your phone, tablet or a browser to capture your single signer consent. Conveniently store templates or create new verbiage on the fly to obtain approvals however and whenever you need it. Securely Record, Store and Access your Consents Our secure platform ensures that every consent action is documented and date stamped, giving you peace of mind and a reliable PDF record to refer back to, download and keep on file. Instantly add, search and update clients information with ease. Insurance Agents/Brokers on Healthcare.gov Need a simple platform to obtain, store and access all your consents for the marketplace? Look no further – COD is simple, easy to use and allows you to obtain consent easily, via phone, tablet or computer and it takes only seconds to set up and send. Start Your Free Trial See Sample CMS template Select a Plan Type Basic $12/month or $120/Year * 1 user * Includes 50 sends per month* *Sends do not roll over You can purchase an additional user at any time for $5 per month, per user Start Your Free Trial Pro $20/month or $200/Year * up to 5 users * Includes 150 sends per month* *Sends do not roll over You can purchase an additional user at any time for $5 per month, per user Select Team $50/month or $500/Year * up to 20 users * Includes 675 sends per month* *Sends do not roll over You can purchase an additional user at any time for $5 per month, per user Select Need more sends? Purchase a Send Pack. These sends do not expire as long as you have an active subscription and can be used across all users. 250 Anytime Sends – $12 one-time charge 500 Anytime Sends – $25 one-time charge 1,000 Anytime Sends – $50 one-time charge Key Features Seamless Consent Records Keep a clear and organized log of consents for any situation. Use the same consent language often? Our template feature allows you to create your template for quick access. Complete a consent in minutes, simple for you and your customer. Real-Time Consent No clunky process that takes too much time and a computer to configure. Quickly open Consent On Demand on any device – use a template or type up your consent and send to your recipient. They can sign in minutes. Secure Data Protection Rest assured that your consent records are safeguarded with Secure Access. You can view your Consents on your phone or desktop and you are able to download a PDF that can be sent via email/text or printed on demand. Accessible Anywhere With Consent On Demand, your consent records are at your fingertips, whenever and wherever you need them. You are able to send a consent via phone, tablet or computer and the recipient is able to sign on all platforms. Join the Consent Clarity Movement Ready to streamline your consent processes? Sign Up for your Free Trial of Consent On Demand today and step into a world where consent management is clear, straightforward, and secure. Works for ANY Industry Consent on Demand works for all industries and scenarios. Create your own templates to use over and over as well as create a consent on the fly. Simple access from the phone, tablet or computer – makes it the perfect platform for on the go business. Insurance // Mortgage // Construction // Home Services // Marketing // Design // Consulting // Accounting // Healthcare // IT // Programming // Sales // Human Resources // And More Start Your Free Trial Copyright © 2016 - 2024 Help On Demand, Lead Distribution On Demand and Connections On Demand are service marks of Big Wave Systems, LLC. All Rights Reserved PRODUCTS * Help On Demand * Consent On Demand * Connections On Demand * Lead Distribution On Demand INDUSTRIES * Healthcare * Home Services * Legal * Mortgage * Insurance * About * Contact * Login * FAQs * Demo * Help Center * Privacy Policy * Terms of Use Page load link DISCOVERY DEMO Give us a few pieces of information so we can schedule a quick discovery demo call. No pressure – let’s chat about how we can help optimize your lead delivery process. "*" indicates required fields Full Name* Company* Email* Phone* Industry* Zip Code* Message reCAPTCHA Comments This field is for validation purposes and should be left unchanged. Δ Go to Top Notifications × SAMPLE TEMPLATE FOR AGENTS/BROKERS I give my permission to [AGENT NAME], to serve as the health insurance agent or broker for myself and my entire household if applicable, for purposes of enrollment in Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for one or more of the following: * Searching for an existing Marketplace application; * Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace premiums; * Providing ongoing account maintenance and enrollment assistance, as necessary; or * Responding to inquiries from the Marketplace regarding my Marketplace application. I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above. I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I understand that my consent remains in effect until I revoke it, and I may revoke or modify my consent at any time by email and/or written letter.