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Member Pre-fill (prototype)

ExtensionTools
Item media 1 (screenshot) for Member Pre-fill (prototype)

Overview

Pre-fills a provider intake or CalAIM referral form from the member open in Capillary Member Care.

Community health workers re-type the same patient details onto provider intake and CalAIM referral forms — dozens of fields per patient, most of which Capillary already holds. Member Pre-fill reads the member you have open in Member Care and fills the form in front of you, then shows exactly what it did: • Every filled field is outlined and carries its source — profile, health survey, or eligibility file — with the date it was recorded, so you can judge whether to accept it. • Fields it will not fill are flagged in amber with a reason. Substance use, sexual health, pregnancy, national identifiers and signatures are never auto-filled. • Where the member did not answer, the field is left blank rather than filled with a placeholder. It stores no credential of its own. It reads with your existing InTouch session, so it can only ever see members you could already open yourself. Supporting a new form is a mapping file, not a code change.

Details

  • Version
    0.2.0
  • Updated
    August 25, 2026
  • Offered by
    Capillary Technologies
  • Size
    44.45KiB
  • Languages
    English (United States)
  • Developer
    Capillary Technologies India Limited
    No 101/360 15th Cross Road Sector 4 HSR Layout Bengaluru, Karnataka 560102 IN
    Email
    itmanager@capillarytech.com
  • Non-trader
    This developer has not identified itself as a trader. For consumers in the European Union, please note that consumer rights do not apply to contracts between you and this developer.

Privacy

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The developer has disclosed that it will not collect or use your data. To learn more, see the developer’s privacy policy.

This developer declares that your data is

  • Not being sold to third parties, outside of the approved use cases
  • Not being used or transferred for purposes that are unrelated to the item's core functionality
  • Not being used or transferred to determine creditworthiness or for lending purposes
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