Case Study: Large Government Agency (Healthcare) achieves 22-day case management launch and 50,000-app/day scalability with Appian

Large Government Agency Healthcare - Customer Case Study

A large government agency urgently needed a comprehensive case management system to process healthcare applications after its contractor could only deliver a minimal website and warned it could not provide back-end processing for paper applications or the many exception workflows. With a 30-day regulatory deadline, the agency turned to a systems integrator experienced with Appian’s low-code BPM platform to attempt a rapid, non‑traditional build.

Using Appian’s “configure, don’t code” approach, the integrator and Appian delivered a fully working solution in 22 days with four full‑time staff, effectively producing the equivalent of millions of lines of code. The system included Active Directory integration, FTP document ingestion, automated task creation and workflow routing, and scaled to handle hundreds of thousands of transactions per day. The success enabled two additional 30‑day builds for related application processes and demonstrated a repeatable, agile approach to modernizing health IT.