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Providing Clarity,
Building 
‍Confidence

Our Transparency in Coverage Rule solution, Opyn Iris, ensures compliance and accuracy in one digital platform.


Our powerful, accurate, solution includes network management and provider directories. A user-friendly tool ensures consumers have a clear picture, allowing them to choose the right provider, for the right care, at the right time - ultimately lowering costs.

Here’s how
it works:

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.

Nearly half of all U.S. adults reported difficulty affording healthcare, with over 60% of bankruptcies caused by medical expenses.

Opyn Health empowers consumers and payors 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, choose the provider that is right for them, and save and share estimates.

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.

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

In just seconds, Opyn Iris generates a list of matching providers and personalized member costs - based on contracts and individual member benefit information.

3. Member Chooses

The member can choose whatever provider is right for them. In addition members can save or share the date and time stamped estimate with others.

Are you Opyn to:

Payors and their members

Removing uncertainty?

Opyn Iris’s Advanced Good Faith Estimate (GFE) 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 Transparency in Coverage and No Surprises Act (NSA)?

Opyn Iris is one step ahead of the game. Our platform’s built-in features  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.