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enGen Wins “Best Core Administrative Processing System” Designation in 2026 MedTech Breakthrough Awards Program
Landmark 10th Annual Awards Program Recognizes the Most Innovative Digital Health and Medical Technology Solutions Worldwide
LOS ANGELES, May 07, 2026 (GLOBE NEWSWIRE) -- MedTech Breakthrough, an independent market intelligence organization that recognizes the most innovative companies, technologies and products in the global digital health and medical technology market, today announced that enGen, a wholly owned healthtech subsidiary of Highmark Health focused on providing integrated end-to-end technology solutions to health plans and their provider partners, has been selected as winner of the “Best Core Administrative Processing System” award in the 10th annual MedTech Breakthrough Awards program.
enGen’s Core Administrative Processing System (CAPS), EHS, automates critical moments across enrollment, claims, and service workflows. Powered by advanced AI and clean data flows, EHS resolves issues upstream, streamlines operations, and prevents member-impacting problems before they occur.
The EZEnroll solution digitizes and automates enrollment by transforming unstructured forms into ready-to-process transactions. Using AI-driven extraction, EZEnroll improves quality-check time and frees staff capacity. For members, the solution supports more accurate enrollment and quicker access to care at the first touchpoint, while ensuring reliable data flows into membership, billing, and claims processes.
Once claims enter the system, ACE (AI Claims Examiner) accelerates adjudication by analyzing suspended claims, recommending resolutions, and processing high-confidence scenarios. ACE’s machine-learning models support member matching, duplicate detection, and complex checks to deliver consistent, auditable recommendations.
Together, EZEnroll and ACE create a continuous automation pipeline, ensuring handoffs strengthen workflow. The Company also prioritizes customer service through automation. AI-powered After-Call Summaries instantly generate concise, structured documentation, helping operators stay engaged, listen empathetically, and resolve issues quickly.
“Automation eliminates administrative friction, strengthens operator performance, and delivers a better member experience,” said Mick Malec, CEO of enGen. “Designed to simply work for members, our Core Administrative Processing System is driving measurable results—ACE alone has resolved 2.19 million suspended claims, cutting resolution time by 50%. We’re grateful to MedTech Breakthrough for this recognition and will continue to combine people, process, and technology to support and streamline complex operations for health plans and their provider partners.”
Now celebrating its 10th anniversary, the MedTech Breakthrough Awards program has spent a
decade recognizing the companies driving meaningful progress and improving patient care across the global health and medical technology industry. The program spans a wide range of categories – including Telehealth, Clinical Administration, Patient Engagement, Electronic Health Records (EHR), Virtual Care, Medical Devices and beyond – honoring the innovations reshaping how care is delivered worldwide.
This year's program drew a record-breaking number of nominations from leading companies and startups across more than 20 countries, reflecting the growing global impact and momentum of the digital healthcare industry.
“Health plan members expect fast, accurate, seamless experiences, yet enrollment, claims, and service workflows are often manual and error-prone. With the right approach, clean enrollment data leads to more accurate claims, which leads to fewer service calls, which leads to better future decisions,” said Steve Johansson, managing director, MedTech Breakthrough. “enGen’s modern CAPS is fundamentally reshaping healthcare administration. Individually, EZEnroll, ACE, and AI call summaries each deliver significant value. Together, they form a self-reinforcing automation system. That makes enGen’s CAPS our pick for ‘Best Core Administrative Processing System!’”
About MedTech Breakthrough
Part of Tech Breakthrough, a leading market intelligence and recognition platform for global technology innovation and leadership, the MedTech Breakthrough Awards program is devoted to honoring excellence and innovation in medical & health technology companies, products, services and people. The MedTech Breakthrough Awards provide a platform for public recognition around the achievements of breakthrough healthcare and medical companies and products in categories that include Patient Experience & Engagement, Health & Fitness, Medical Devices, Clinical Administration, Connected Healthcare, Medical Data, Healthcare Cybersecurity and more. For more information visit MedTechBreakthrough.com.
Tech Breakthrough LLC does not endorse any vendor, product or service depicted in our recognition programs, and does not advise technology users to select only those vendors with award designations. Tech Breakthrough LLC recognition consists of the opinions of the Tech Breakthrough LLC organization and should not be construed as statements of fact. Tech Breakthrough LLC disclaims all warranties, expressed or implied, with respect to this recognition program, including any warranties of merchantability or fitness for a particular purpose.
About enGen
enGen's dynamic ecosystem of smart automation and technology supports and streamlines complex operations for health plans and their provider partners. Operating since 2014, formerly as HM Health Solutions Inc., enGen is a wholly owned healthtech subsidiary of Highmark Health. Headquartered in Pittsburgh, Pennsylvania, enGen has more than 11,000 employees and works with health care plans and providers serving more than 20 million members nationwide.
About Highmark Health
Highmark Health, a Pittsburgh-based enterprise that employs 44,000 people who serve millions of Americans across the country, is the parent company of Highmark Inc., Allegheny Health Network, and enGen. Highmark Inc. and its subsidiaries and affiliates provide health insurance to 7.1 million members in Pennsylvania, West Virginia, Delaware, and New York, as well as dental insurance, and related health products through a national network of diversified businesses. Allegheny Health Network is an integrated delivery network in western Pennsylvania composed of 14 hospitals, more than 2,500 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions. enGen is focused on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge, and integrated cloud-based platforms. To learn more, visit www.highmarkhealth.org.
Media Contact Steve Johansson steve@medtechbreakthrough.com 213.255.3658
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