Solutions for TPAs

The Transparency in Coverage Rule and No Surprises Act didn’t just create a need for a solution that ensures full compliance with the mandates, it has manifested a new consumer-first healthcare marketplace through which your clients and their covered employees can greatly benefit.

Have You Prepared Your Employer Groups?
Are They Protected TODAY

The facts you NEED to know:​

  • Transparency fines are here, and YOUR groups are on the hook!
  • Your groups could be facing $100 per day, per member fines for noncompliance.
  • Your groups may be overpaying for healthcare by 40% or MORE.
  • Your groups will hold YOU accountable.

The time to act is NOW. TALON is your immediate solution to protect your groups both today and in the future. We’ve built the ultimate suite of software services designed to seamlessly fulfill the requirements of the Transparency in Coverage Rule and No Surprises Act, while also taking FULL advantage of all the benefits of a consumer-driven healthcare marketplace.

You Should Be Asking Yourself the Following Questions:

  • Are our groups safe from the $100 per member, per day fines?
  • Does our transparency partner take care of multiplexing and layering all our negotiated rate agreements, so the shopping experience identifies ONLY the correct price based on the plan documents?
  • Can our system deliver the required shopping experience including accurate estimates of encounter costs both at plan-level and subscriber level all with network guidance?
  • Are eligibility updates, plan design feeds, consumption accumulators, QPA and Advanced EOBs fully automated?
  • Have we protected ourselves and our clients from costs for accessing and downloading publicly accessible files?
  • Have we architected a compliance solution that scales and will work for the long-term?

“Maybe” isn’t good enough. If you can’t answer each of the above questions with a definitive YES, your groups are at RISK, and we need to talk TODAY.

TALON Offers MORE

With TALON as your PARTNER, you have a team of experts plugged into your business, enabling you to IMMEDIATELY deliver a fully compliant solution to your clients.

  • Our dynamic platform goes far beyond JUST compliance—providing a streamlined, easy to implement, end-to-end solution for lowering healthcare spend and fostering a happier, healthier, more productive workforce.
  • Our system creates free-market dynamics, starting with subscriber engagement through alignment of incentives, providing true ROI.
  • The unmatched digital experience provided by TALON’s innovative MyMedicalShopper platform EMPOWERS employees to become informed consumers and make smart, economical decisions about their own care.
  • As an added incentive for choosing low cost, high-quality care, TALON’s patented and intuitive MyMedicalRewards program rewards employees through HSA/HRA contributions or gift cards. 
  • TALON seamlessly integrates with any existing system with no distraction or disruption.
  • TALON protects your clients from overpaying for care, lowering overall healthcare spend by 20-40%!

Ultimately, it means a long-term solution for full compliance, lower costs, and better care. Let’s talk today about what TALON can do for your business and your client!  

Request Our FREE Planning Guide

This valuable resource is designed to help you and your clients understand the mandates in the No Surprises Act and Transparency in Coverage Rule, as well as assess and select the best compliance solution.

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