Patients and policyholders deserve documents they can actually read.
Explanation of benefits, coverage summaries, and claims forms are how people understand their care and their costs. When these documents are inaccessible, people can't make informed decisions about their own health.
Regulatory landscape
Healthcare and insurance organizations face accessibility requirements from multiple federal sources. Here is what applies.
ADA Title III
Hospitals, clinics, and insurance offices are places of public accommodation. Patient-facing documents — whether printed or digital — must be accessible to people with disabilities.
Section 504
Applies to any healthcare organization that receives federal funding, including Medicare and Medicaid providers. Covers all communications with patients and beneficiaries.
CMS requirements
The Centers for Medicare & Medicaid Services requires that materials for Medicare Advantage and Part D plans meet specific accessibility standards, including large print, screen reader compatibility, and alternative formats.
State insurance regulations
Insurance commissioners in multiple states have adopted accessibility requirements for policyholder communications. Requirements vary by state but are trending toward WCAG 2.1 AA conformance.
Common document types
Healthcare and insurance organizations produce some of the most complex documents in any industry. These are the types we encounter most and the challenges each one presents.
Explanation of Benefits (EOB)
Multi-section documents with service details, cost breakdowns, and appeal instructions. Complex table layouts need proper headers so each charge is identifiable.
Coverage summaries
Summary of Benefits and Coverage (SBC) documents use standardized layouts with coverage grids, cost-sharing tables, and glossary sections that all require structure tagging.
Claims & authorization forms
Forms with labeled fields, checkboxes, and required-field indicators. Proper form tagging ensures every input is reachable and identifiable by assistive technology.
Provider directories
Long documents listing providers by specialty, location, and network status. Correct heading hierarchy and table structure make these searchable and navigable.
Formularies
Drug lists organized by tier, therapeutic class, and coverage restrictions. Dense table structures with abbreviations and footnotes need careful tagging.
Patient communications
Appointment notices, discharge summaries, and care instructions. Often generated from templates — consistent remediation ensures every output is accessible.
Where we focus
Healthcare and insurance documents have unique characteristics: dense coverage grids, regulatory formatting requirements, and high publication volumes. Here is where we focus.
Complex table remediation
Coverage grids, formulary tables, and EOB breakdowns are among the most structurally complex tables in any industry. We handle multi-level headers, merged cells, and nested structures.
Recurring batch processing
EOBs, statements, and notices generated on regular cycles for large member populations. Template-based remediation means each batch improves on the last.
Form accessibility
Claims forms, enrollment applications, and authorization requests need proper form field tagging so every input is labeled, reachable, and completable with assistive technology.
Compliance documentation
We generate conformance reports and VPATs automatically, giving your compliance team documentation that CMS, state regulators, or auditors can review.
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Related reading
DOJ Title II Compliance Guide
Everything you need to know about the April 2026 deadline.
What Is PDF Remediation?
The complete guide to methods, costs, and standards.
Case Studies
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Document Accessibility Product
See how the remediation engine works.