Sprint 7.5 · Insurance + Pharma Channel · M16

1. 🎯 Sprint Summary

2. 🧩 Module Scope

• 6 Insurance Carriers Deep Integration: AIA · Great Eastern · Allianz · MyRx · PMCare · Etiqa — extend Sprint 2.2 panel claim · auto-submission · pre-auth · panel mapping · benefits check
• Insurance Pre-Auth Flow: Doctor proposes treatment → auto pre-auth check via carrier API → approval/rejection in < 30s · seamless workflow
• Insurance Claim Auto-Submission: Encounter sign-off → claim package built → submitted to carrier · status tracking · receipt + denial handling
• Pharma Rep Workflow: Pharma rep onboarding · per-clinic opt-in visits · sample inventory tracking · CME content delivery · prescription influence audit
• Marketing Safety Guardrails: No prescription incentives · MOH advertising compliance · separated rep view from patient data · audit on all touch-points
• Pharma Rep CRM: Per-rep clinic territory · visit log · KOL activities · CME hours tracked · MOH-compliant reporting
• External Pen-Test Full Audit: CREST-accredited firm · 2 weeks active testing · clean report required for v2.0 production cert
• External Clinical Safety Audit: Independent third-party · 5 specialty + general modules · clean report required
• v2.0 Phase Closeout: Full retro · 100-tenant celebration · v3.0 plan kickoff · regional expansion roadmap
• 20+ Cohort Onboarding Push: Onboarding Lead drive 80 → 100+ tenants via wizard · self-service scaling

3. 🚦 Pre-Sprint Gate Checklist

• Sprint 7.4 closeout · API + Marketplace public launch successful
• 6 insurance carrier API specs reviewed · MOUs signed
• Pharma rep policy + marketing safety guardrails approved by Doc Zam + Compliance Lead
• External pen-test firm engaged · 2-week audit window booked
• External clinical safety auditor engaged (independent third-party)
• 5 pharma carriers committed to rep workflow pilot
• Onboarding Lead capacity for 20+ cohort drive secured
• v3.0 (regional expansion) plan placeholder published
• 100-tenant celebration event booked (20 Apr 2028)

4. 📅 Day-by-Day Plan (15 days)

5. 📦 Deliverables

6. 👥 Team Capacity

7. 🔔 Sprint Ceremonies

• Mon 3 Apr 9am — Sprint Planning (90 min)
• Daily 9am — Standup (15 min · pen-test team joins Tue/Thu wk 2-3)
• Fri 7 + Fri 14 Apr 4pm — Mid-sprint demos
• Mon 10 Apr 4pm — Pen-test kickoff briefing (60 min)
• Tue 18 Apr 4pm — Clinical safety audit kickoff (60 min)
• Thu 20 Apr 4pm — 100-tenant celebration event (90 min · public)
• Fri 21 Apr 2pm — External attestations review (90 min)
• Mon 23 Apr 9am — Sprint Demo + v2.0 Phase Closeout (90 min)
• Mon 23 Apr 11am — Sprint Retro (60 min)
• Mon 23 Apr 12pm — v2.0 Phase Retro + v3.0 plan kickoff (90 min)

8. 🩺 Sign-off Items

• 6 insurance carriers integrated · pre-auth + claim flows tested
• Pre-auth response < 30s p95
• Claim auto-submission · 95% accuracy on test cases
• 20+ pharma rep accounts active · MOH-compliant workflow
• Marketing safety guardrails: zero prescription influence audit findings
• External pen-test: 0 critical · 0 high · ≤ 5 medium with mitigations · clean report
• External clinical safety audit: clean report · all 5 specialty + general modules verified
• 100+ tenants live · stable for 7+ days
• v2.0 production certification document signed
• v3.0 plan published · regional expansion roadmap
• Doc Zam clinical attestation: "v2.0 production-certified, 100+ tenants validated"
• Final demo (23 Apr) — all parties sign-off · public attestation

9. 🎬 v2.0 Phase Closeout Demo — 23 Apr 9am (90 min)

10. 🛡️ Contingency