Solutions for

TPAs

TALON offers professional benefits administrators a comprehensive solution for the Transparency in Coverage Rule and No Surprises Act enabling compliance and safe harbor for the employer-sponsored group health plan clients you serve. And, TALON more than ensures compliance. It will strengthen your client relationships as you leverage the new market-driven healthcare system, through TALON, to drive down out-of-pocket expenses and reduce employer health care spending, much to their delight.

TALON’s MyMedicalShopper™ consumer self-service tool served as the prototype for these new federal mandates. It fulfills all transparency requirements of the Transparency in Coverage Rule and No Surprises Act that apply to your fully funded clients. While enforcement may commence in mid-2022 or sometime thereafter, the No Surprises Act requires compliance, including an internet-based consumer self-service tool, beginning on January 1, 2022. Your clients risk fines up to $100 per member per day upon enforcement. Yet, while the risks of non-compliance are certainly great, informed employers will embrace the benefits of the Transparency in Coverage Rule and No Surprises Act as the impressively bipartisan legislation changes the healthcare marketplace from a fractured one to one that is truly consumer-first.

Take
Flight.

Download the full Planning Guide
Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule

TALON’s white/private label platform is designed with the needs of the TPA fully in mind. Our Advisory tools will help you support your clients in new ways, and aid you in prospecting efforts as you demonstrate your leveraging of TALON to reduce your customers’ healthcare expenditures through encouraging and rewarding smart consumerism. 

For a quick overview of MyMedicalShopper, click here.  With links below, our Executive Summary introduces the new laws, rules, and the TALON platform, while our Planning Guide presents both in greater detail.

We are here to help. Our experts are ready to work with you to ensure compliance and client safe harbor.

Learn more:

Executive Summary
10 Key Considerations
Planning Guide
Transparency in Coverage Final Rule
No Surprises Act

TALON Knowledge Center

Executive Summary

Download the Executive Summary of Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule

10 Key Considerations

What you need to consider with Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule

Planning Guide

Download the Planning Guide Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule

Transparency in Coverage Final Rule

Learn about how the final rule applies to your group.

No Surprises Act

Learn about how the act applies to your group.

Smart Consumerism

The best benefits for consumers.