Case Study

Large Health Exchange Boosts Insurance Coverage as Applications Soar During Pandemic

Large Health Exchange Boosts Insurance Coverage as Applications Soar During Pandemic

Pages 5 Pages

Program intake is a crucial stage in the customer journey for health insurance exchanges operating under the Affordable Care Act (ACA), demanding accurate processing of thousands of documents each day. To accelerate customer onboarding and facilitate access to high-quality care, this state-run exchange uses Kofax TotalAgility® to automate ACA eligibility adjudication processes from end to end. The new approach saves thousands of work hours annually and frees employees to focus on the most complex cases. It also helped the organization accommodate a sudden increase in workload during the pandemic. Large Health Exchange Boosts Insurance Coverage as Applications Soar During Pandemic >70% Automated Processing Achieved 25% Of Cases Fully Resolved in 24 Hours 8 months From Design to

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