A large West Coast health plan faced delays, high costs, and errors in processing enrollment applications due to manual reviews, inconsistent criteria, and slow verification of qualifying events during special enrollment periods. Conduent implemented an automated, rules-based enrollment system integrated with third-party data sources, enabling application decisions in under one minute and ensuring accuracy above 99 percent. The solution reduced approval times from more than a week to less than 60 seconds, processed over 27,600 applications in one year, eliminated over $1 million in annual enrollment costs, and helped the plan avoid $7,000 in monthly claims expenses for ineligible members.

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