Healthcare Reimbursement Reimagined

Universally Acceptable Payment Amount™

The Universally Acceptable Payment Amount™ (UAPA) is a healthcare reimbursement model designed to benefit healthcare providers, self-insured employers, and their employees. It establishes a fair payment rate based on the weighted average of a provider's negotiated allowed amounts from contracted commercial in-network payers.

Data-Driven Foundation

Based on payer-negotiated data using proprietary TALON methodology for accuracy, reliability, and acceptance.

Broad Acceptance

Designed for universal provider acceptance, reducing friction and disputes across the network.

Regulatory Alignment

Aligns with transparency and compliance standards, ensuring defensibility and trust.

"Contract-Less" Network

A contract-less, universal footprint of coverage that surpasses any individual PPO.

Lower Costs, Fewer Disputes, Better Member Outcomes

Benefits that tie directly to your core priorities – cost control, operational efficiency, and member satisfaction.

Lower Total Cost

Reduce the overall cost of care through predictable, market-based pricing.

Fast Adjudication

Fewer disputes and streamlined claims processing save time and resources.

Provider Acceptance

Stronger provider relationships and better member affordability.

Compliance Support

Meet transparency rules and regulatory requirements with confidence.

How UAPA is Calculated

UAPA is derived from real-world market data with consistent governance. Built on published payer data, UAPA integrates seamlessly into pricing workflows with monthly updates, ensuring accuracy and relevance.

Data Inputs

Payer-negotiated rates using TALON-approved methodology.

Governance

Transparent methodology, recalibrated on regular cadence.

Integration

Plugs into clearinghouses and claims adjudication systems.

Cross-Functional Impact

Payers can deploy UAPA across contracting, adjudication, and member affordability. These practical scenarios drive tangible value and impact. Leverage UAPA as a...

Full Network Replacement

Replace your group’s traditional network with UAPA to ensure a footprint of coverage and that members are never truly “out-of-network.”

Wrap Network

Use UAPA to fill any gaps in provider coverage and ensure adequate access for all covered lives, even in remote or rural areas.

Out-of-Network Repricing

Limit excessive charges and protect both patient and provider by offering the provider a data-driven, equitable price grounded in commercially valid pricing.

RBP Replacement Repricing

Instead of referencing medicare rates for commercial payments, use fair, fully-discoverable, weighted commercial average rates and meaningfully reduce balance billing frustration and confusion.

Join the Pricing Revolution

Legacy pricing models create volatility, disputes, and rising costs. TALON's Universally Acceptable Payment Amount (UAPA) offers a transparent, data-driven benchmark that benefits payers, providers, and members alike.

Genuinely Transformational Reimbursement Rates