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Healthcare Price Transparency

Get Compliant. Stay Compliant

What is Healthcare Price Transparency?

We help group health plans and TPAs maintain compliance with the Transparency in Coverage Final Rule by providing their members with access to an online tool that allows them to estimate cost sharing for covered healthcare items and services.


Gathering

We’ve Got You Covered.

PEACE OF MIND

Get exactly what you need to stay compliant with January 1, 2023, regulations and protect your employer clients from being fined.

Achieve savings

Cost-sharing information provided in the tool guides members to use networks more efficiently and find the most cost-effective in-network providers.

Meets your needs

Tool can be customized to any specific plan design to ensure members get accurate information.

INTEGRATES SEAMLESSLY

Single sign-on can be enabled, allowing members to access the tool directly from their existing member portal.

A SINGLE, COST-EFFECTIVE SOLUTION

We help group health plans and TPAs maintain compliance with the Transparency in Coverage Final Rule by providing their members with access to an online tool that allows them to estimate cost sharing for covered healthcare items and services.

Gathering

PHASE 1 - January 1, 2023

Provide an online tool that allows members to estimate their cost share (out-of-pocket expenses) for 500 covered items & services.

PHASE 2 - January 1, 2024

Provide members with an online tool that allows them to estimate cost sharing for all covered items & services.

PHASE 3 - Coming Soon

Provide members with an online tool that allows them to estimate cost sharing for prescription drugs.