Companies that rely on data…rely on Muscato.
Transact. Transmit. Transform.
Healthcare IT organizations rely on data for making critical administrative decisions. Muscato understands the complexities pervasive in this rapidly changing and ever evolving industry. That’s why Muscato solutions leverage the strength of EDI and e-commerce standards to deliver robust, real-time and batch solutions that securely connect, manage, transform, route and track healthcare transactions for some of the most highly respected healthcare organizations. healthENGIN was designed by these experts to encompass the proven capabilities of ENGIN© with the industry’s first commercially available HIPAA-compliant all-payer solution.
- Manages and controls all communications interfaces
- Authorizes and authenticates all users and trading partners
- Performs all internal and external routing and distribution
- Performs structure validations at any level of granularity
- Translates data across a wide variety of formats and standards
- Supports powerful execution of custom business rules and payer specific edits
- Re-batches messages and transactions according to specific trading partner rules
- Distributes and tracks all re-batched messages
- Trading partner management facility for routing and distribution of all transaction types
healthENGIN is ready for your most complex healthcare payer challenges and is the proven technology used by the nation’s largest payers, currently processing 70% of Medicare Part A/B claims and 100% of national Durable Medical Equipment (DME) claims.
Our clients include:
- Top 3 Medicare intermediary, servicing 30 million beneficiaries
- Medicare/Medicaid Administrative Contractor (MAC) representing 1/3 of the Part A/B landscape, servicing 11 million beneficiaries and 500,000 providers
- Medicare/Medicaid Administrative Contractor (MAC) servicing 13 million beneficiaries and processing 119 million claims annually
Architected to scale up or scale down, healthENGIN addresses all tiers of the health payer market, from private commercial to government sponsored. healthENGIN is flexible and affordable to plans of all sizes, with no per-claim or transaction charge.
New channels such as Internet of Things (IoT), mobile and demand personalization are within reach with healthENGIN. User access to critical data for provisioning, customer support and trading partner management is simplified with healthENGIN’s Provider Portal.