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Transforming the healthcare payments and settlement processes to facilitate insurance reimbursement and the collection of consumer self pay responsibilities.


 


The unique capabilities of the TransEngen enable the company to design, develop and execute innovative products for today’s payers including health plans, employers, third party administrators and pharmaceutical manufacturers.

Individual components of the TransEngen are combined to engage consumers, integrate processing and authorization for both health and financial transactions, and combine settlement of both payer and consumer funds. The result is a streamlined settlement process along with administrative simplification and reduced operating costs, not to mention increased satisfaction for healthcare providers and consumers.

PayerEngen
Our PayerEngen is an end-to-end healthcare payment solution designed to be interoperable with multiple industry participants. The web-based portal captures and routes claims to provide real-time eligibility verification and claim adjudication for providers, determining member self pay responsibilities at the point of care. Providers now have immediate access to reimbursement levels for the services they provide, receiving payment verification back through the portal while the patient is still in the office.

Providers that elect to receive reimbursement from the payer via Electronic Funds Transfer (EFT) are assured of payment within 24 – 48 hours. In some instances, providers receive payment via EFT of the member’s liability as well, in the event the member registers a source of payment and authorizes claims rollover during enrollment with the payer. Premium payment by credit card or ACH can also be made available to members as an extension of this unique end-to-end solution.

PePEngen
Our Pharmacy eCommerce Program, or PePEngen, offers customized solutions for pharmaceutical drug manufacturers, mail order facilities and disease management call centers. Our rules-based funds management and messaging capabilities can be used to streamline insurance and consumer reimbursement to providers, extend product life cycle, build brand loyalty and increase compliance/adherence to prescribed therapy.

The PePEngen captures consumer financial and insurance information, secures authorizations for consumer payment upon drug delivery, and automates patient set up for mail order pharmacies. For pharmaceutical manufacturers looking to create a destination for consumers to buy product, the TransEngen payment gateway is leveraged to provide an integrated ecommerce and drug fulfillment platform to create the ultimate online buying experience.

The TransEngen payment gateway is powered by Maas Global Solutions Corporation, a PCI Level One compliant service provider.



For more information about our Payer Solutions, contact:

Greg Morris
President & CEO
(203) 840-6821
gmorris@transengen.com


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