Case Study: The Centers for Medicare & Medicaid Services (CMS) achieves streamlined processing of millions of ACA applications for faster enrollments and reduced costs with Tungsten Automation

Kofax Streamlines Processing Millions of Affordable Care Act Insurance Applications

The Centers for Medicare & Medicaid Services (CMS) needed to process millions of paper-based Affordable Care Act applications, supporting documents and related appeals across federally facilitated exchanges. The manual, information‑intensive workflow created bottlenecks, errors and compliance risks while slowing access to coverage and driving up labor costs.

Kofax delivered a case management solution—combining Capture, VRS Elite, Transformation and Monitor—to automatically scan, clean, classify and extract data, match supporting documents, enforce eligibility rules and provide real‑time monitoring and operator workflows. The result was faster, more accurate enrollments with improved visibility and compliance, reduced errors and lower processing costs.

Centers for Medicare & Medicaid Services (CMS)