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The future of healthcare is Opyn

Our Transparency in Coverage Rule solution, Opyn Iris, uses the power of transparency to provide members with access to current provider prices, allowing them to compare services and find the care that is best for them.

Here’s how it works:

1. Member Selects

Member selects service type and location to find a provider that best fits their needs.

2. Opyn Iris Solution

Opyn Iris generates a list of matching providers and their individual contract rates for the select specialty/medical need.

3. Member Chooses

The member contacts one or more providers for their availability and schedules an appointment with the provider that is right for them.

Here’s how
it works:

Are you Opyn to:

Payors and their members

Removing uncertainty?

Opyn Iris’s Advanced EOB gives your plan members a detailed summary of what their costs will be before they receive care.

Enabling members to make an informed decision?

Digital provider directory contains accurate provider information, allowing members to compare costs before making a final care decision.

Ensuring compliance with the No Surprises Act (NSA)?

When it comes to the Transparency in Coverage Rule, Opyn Iris is one step ahead of the game. Our platform’s built-in features already deliver compliance for today and beyond.

Customizing your provider settings?

Our intelligent system design and propriety algorithms allow you to prioritize providers based on your preferences, such as those who are most cost-effective, accepting new patients, or offer telemedicine.

Consumers

Having the power to choose?

With Opyn Iris, you can shop and compare qualified providers through our up-to-date, accurate digital directory, giving you a choice in the provider and services that work best for you.

Knowing what you’ll pay?

Opyn Iris’ Advanced Explanation of Benefits (AEOB) gives you a breakdown of what you’ll pay with each selected provider – including your co-pays, coinsurances, and any other costs – so you know your total out-of-pocket cost before you go.

Saving money on medical care?

When you can compare rates, you can get the lowest price on medical services, even within your current medical plan.

Transparency in healthcare?

Our Opyn Iris platform is based on complete transparency – meaning we hide nothing from you. You can shop and compare services to find what works best for you based on provider preference, cost of services, or provider distance.

Providing clarity,
building confidence

Our Transparency in Coverage Rule solution, Opyn Iris, is a healthcare price transparency tool that ensures compliance and accuracy in one digital platform.
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Our Advanced EOB eliminates guesswork by providing a summary of both the plan and the member’s financial obligation with each selected provider, empowering the member to make an informed decision.

Total transparency

Would you buy a car without knowing the price? Probably not.

But in today’s healthcare system, consumers and payors rarely know the price of a procedure until after it has taken place. Providers often don’t know what or when they’ll be paid, and nobody involved has access to real-time data or insights.

Opyn Market seeks to empower consumers, payors, and providers alike, with the tools and information needed to simplify the healthcare experience.

When healthcare is transparent, everyone wins.

It’s simple. We deliver complete transparency and real-time navigation that allow members to search and make informed care decisions. Like they do for everything else in life.

Simple, yet powerful

Accuracy

Our solution integrates with member co-pays, co-insurance, member eligibility, and plan accumulators, regardless of carrier or PPO network, to deliver greater price and detail accuracy.

Transparency

Members can review their out-of-pocket costs for specific procedures, compare costs across multiple providers, and choose the provider that is right for them.

Compliance

Opyn Iris is a scalable solution that helps you stay compliant with the Transparency in Coverage Rule both near-term and in the future.

Bringing trust back to healthcare

Lack of transparency, steadily rising costs, and absence of choices have left consumers frustrated and unable to trust the healthcare system.

On the administrative side, payors and providers have different and often conflicting goals, leaving no time for relationship-building.

Opyn Health acts as a neutral partner to facilitate positive relationships based on and bound by trust.