Our platform + services =
better outcomes for all

Transaction-based health care is out. Human-centric care is here to stay.

We're changing the face of health care by creating win-win-win experiences for clinicians, administrators, and the people they serve.

 

 

Trusted by 50 Blue and non-Blues clients and 20 million members.

Health care is a team sport.
enGen is the playbook.

We combine technology and operations (TechOps) to truly unite payers, providers, and patients in ways that benefit everyone. That’s been our sole mission since 2014. Here’s a look at what we’ve accomplished.

20 million+

insurance members served

150+

native and non-native integrations

260 million+

annual claims processed

92-98%

adjudication rate across all clients

50+

Blue & non-Blue plans served

20 million

insurance members served

6 million+

member & provider calls serviced

260 million+

annual claims processed

92%

adjudication rate across all clients

30+

Blue & non-Blue plans served

We simplify
the payvider experience

 

When payers and providers come together, good things happen for everyone. For more than a decade, we’ve worked with health plans and hospital networks to bridge the gap by integrating full-stack systems, analytics, and the people that manage them.

For Payers

From front-office engagement to back-office interoperability, enGen’s TechOps approach offers everything payers need to drive member satisfaction, scale processes, and accelerate growth.

For Providers

With enGen, providers can offer smart, personalized health care experiences that lead to better outcomes for patients and clinicians. Handle scheduling, billing, virtual visits, analytics, and more under one roof.

Holistic and modular solutions for payers and providers

enGen and predictal logo

Predictal™ provides flexible, automated care management

  • Modular or full-platform solution for Authorization, Utilization, Case, Disease, and Appeals and Grievances Management
  • Create 360-degree member/patient profiles for better treatment and engagement
  • Build smart workflows using automated tasks, alerts, and notifications
  • Coordinate communications with providers, patients, and family members
shield icon with lightning bolt in the center

Continuous risk management, security, and compliance

 

enGen upholds and maintains the health care industry’s most rigorous standards and certifications.

enGen's Payvider Ecosystem
 

Our end-to-end approach to solving health care's greatest challenges

 

There’s no one-size-fits-all solution in health care. That’s why we developed our ecosystem—a configurable mix of technology and operations for payers and providers. Tap into the power of our complete ecosystem or choose the components you need to achieve a specific outcome.

Health Plan & Provider

Connecting payers, providers, and members across every touchpoint of the health care experience. We offer technologies and services that streamline operations, enhance efficiency, and improve the overall health care experience.

Operations

Experienced enterprise professionals for strategic and technical use-cases. Worldclass delivery of core business services across the entire health care value chain.

IT Infrastructure

Enterprise IT solutions sustained by enGen experts. Safe, secure full-stack services including automation, integration, AI, and more.

Global Technology & Ops Support

24/7 international assistance, diagnostics, and innovation. Our Global arm provides the foundation for enterprise flexibility and scalability.

Print & Fulfillment Services

Health care communications across any medium—digital, print, and mail. Secure and timely fulfillment at low cost.

Payvider Platform

enGen's core offering for payers and providers. A centralized, cloud-based administration hub that delivers front-, middle-, and back-office capabilities.

Operations

Experienced enterprise professionals for strategic and technical use-cases. Worldclass delivery of core business services across the entire health care value chain.

IT Infrastructure

Enterprise IT solutions sustained by enGen experts. Safe, secure full-stack services including automation, integration, AI, and more.

Global Technology & Ops Support

24/7 international assistance, diagnostics, and innovation. Our Global arm provides the foundation for enterprise flexibility and scalability.

Print & Fulfillment Services

Health care communications across any medium—digital, print, and mail. Secure and timely fulfillment at low cost.