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 Tungsten 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.
About large health exchange
This large, state-run health exchange has a mandate to connect eligible residents with health insurance plans under the Affordable Care Act.
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Tungsten TotalAgility
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Tungsten RPA
Robotic process automation (RPA) solutions enable you to automate labor-intensive, multi-step tasks across systems and data sources with no coding.
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