Revolutionizing healthcare with enGen.

Our integrated solutions provide end-to-end service offerings across front, middle, and back office functions. Whether you need standalone solutions or the full breadth of our ecosystem, enGen drives results.

Health Plan & Provider

enGen’s payer and provider platform powers more than any other solution on the market — products and services can be implemented either holistically or modularly.

IT Infrastructure

Provides reliable infrastructure and security solutions for all health care needs.

Operations

Provides world class service delivery and business process services across the entire health care value chain and all health insurance lines of business.

Global Technology & Ops Support

Advances innovation in a 24x7 environment offering flexibility for enGen and scalability for our clients.

Print & Fulfillment Services

Offers the reliability, flexibility, and experience necessary for you to deliver digital, print, and mail services cost-effectively.

Tired of fragmented healthcare solutions that hinder efficiency and drive up costs?

enGen offers a revolutionary approach with our fully integrated, end-to-end Payer Platform and Predictal, an AI-driven clinical solution.

Our platform streamlines every aspect of your health plan operations.

Front and middle office functions like provider credentialing and member enrollment.

Back-office processes such as claims adjudication and benefits management.

smiling IT associate working confidently

We leverage AI-powered automation to drastically improve speed and accuracy, reducing administrative burdens and freeing your staff to focus on what truly matters: delivering exceptional member care.

With enGen, experience a seamless, unified digital platform.

Backed by industry-leading awards, enGen provides a solution you can trust to propel your health plan to new heights.

Reduced costs

Improved member satisfaction

Better health outcomes

Whole-person care management

Predictal™ is a configurable solution including Utilization, Case, Disease, and Grievances Management and Auto Authorization Hub (AAH, UM, CM/DM, AGM). Choose individual modules or integrate the full solution.

Capabilities

Manage pre- and post-service appeals for medical and prescription services.
Streamline integration with apps such as Epic and Oracle.
Communicate with providers and patients in one place.
Use built-in functions to comply with regulatory guidelines (e.g., CMS-0057-F).
View audit history and receive audit support.

Features

Manage self-service authorization criteria for streamlined approvals.

Create 360-degree member/patient profiles through AI-driven analysis.

Build smart, automated workflows using configurable tasks and notifications.

Utilize AI to examine, identify, and approve claims to increase authorization rates.

Leverage business intelligence insights through our self-serve reporting and analytics dashboard.

Unlock Value with Predictal.

Predictal, our award-winning AI-powered clinical solution, seamlessly integrates within our Payer Platform or can be deployed as a standalone application. This powerful tool optimizes utilization management, case and disease management, appeals and grievances, and authorization processes.

Experience the difference of a truly integrated, AI-powered solution that empowers you to deliver superior healthcare with greater efficiency and reduced costs.

50% boost in clinician productivity

70% reduction in authorization costs

With enGen, you're not just buying a solution – you're acquiring a strategic partner dedicated to optimizing your entire operational landscape.

Drive strategic growth with enGen's Integrated BPS expertise.

enGen's Business Process Services (BPS) offering goes beyond simple technology licensing; we become an extension of your team, seamlessly integrating our expertise and resources to achieve your operational goals. We offer a unique value proposition: our comprehensive BPS capability is underpinned by our cutting-edge technology platform.

This means we help handle the complexities of claims processing, member services, provider management, and more, freeing your internal teams to focus on strategic initiatives, innovation, and member engagement.

By leveraging enGen's experienced team, you not only gain access to leading-edge technology but also benefit from a holistic approach to optimizing your business processes, resulting in substantial cost savings and improved efficiency across your entire organization.

Forge, our comprehensive omni-channel fulfillment service, enhanced by AI, handles digital marketing, printed materials, and mail orders, ensuring all your communications are managed and distributed seamlessly from one place. 

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We offer global 24/7 health tech innovation and support. Our diverse business capabilities and rapid global talent onboarding ensure seamless delivery with dedicated support.

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Products

Predictal connects Utilization, Case, and Disease management into a single, modern system that consolidates member and provider information. Inspired by innovative care delivery models, advanced digital technologies, and data interoperability, Predictal enables business outcomes through streamlined business intelligence and powerful insight capabilities, while simplifying care for members and providers.

This cloud-based solution holistically manages provider activities, reducing administrative burden. Offering enhanced maintenance through intelligent, optimized workflows, Providius enables the more efficient collection, management, and distribution of provider data. By linking multiple applications into one modern, configurable, and streamlined solution, Providius gives health plans and providers the self-service capabilities to manage demographics, contracting, networks, reimbursement administration, and credentialing.

Our Business Intelligence solution provides actionable insights to identify opportunities for cost efficiencies and targets key trends. With innovative and cutting-edge solutions that equip our clients with the information they need, this tool empowers health care payviders to stay ahead of the curve, improve patient outcomes, and optimize operational efficiency.

A testament to our vision of transforming health care through technology, we support our clients with data that helps drive optimization, greater efficiencies, and strategic targeting – everything they need to be successful in today’s marketplace.