Healthtech 
starts here.

 

With the industry's most comprehensive suite of capabilities, we unlock AI-driven outcomes for clinicians, administrators, and the people they serve.

enGen ecosystem graphic with focus on Health Plan and Provider

Secure, award-winning solutions trusted by 50 Blue and non-Blues clients and 20 million members. 

Smiling man sitting and holding a laptop

Healthcare is a team sport. enGen is the playbook.

“We were able to be open, honest, and transparent about our needs, knowing that our goals are ultimately the same. It's a win-win situation — if I don't succeed, neither do you, and vice versa…it's been a very mutually beneficial relationship."

- enGen large Blue health plan client 

Achieving optimal health outcomes demands seamless alignment of people, processes, and technology. Our unique TechOps approach – uniting technology and operations – truly connects payers, providers, and patients for the benefit of all. This has been our unwavering mission since 2014. 

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

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.

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

Simplifying the payer-provider experience with interoperability

For over a decade, we’ve partnered with health plans and hospital networks to bridge the payer-provider gap, seamlessly integrating full-stack systems, advanced analytics, and the people who manage them. 

Our solutions are built to integrate with other systems. From front-office member engagement to back-office interoperability, enGen's TechOps approach provides payers with everything needed to boost member satisfaction, scale operations efficiently, and accelerate growth through intelligent automation and whole-person care.

At enGen, we’re dedicated to driving innovation through strategic relationships.

We collaborate with leading innovators and creators to transform healthcare.

partner logos
partner logos

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.
CEO Mick Malec

“We’re not just building a better platform; we’re building a healthier future, one seamless connection at a time.”

- CEO Mick Malec