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TALON

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TALON Products (3)

   
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Healthcare Transparency Solutions

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Product Description

TALON makes healthcare costs clear before care happens, not after the bill arrives.
TALON is the leader in healthcare price transparency. In development since 2014, the platform was demonstrated to federal regulators and served as the model for the Transparency in Coverage Rule. Our solutions guide members across the...
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TALON makes healthcare costs clear before care happens, not after the bill arrives.
TALON is the leader in healthcare price transparency. In development since 2014, the platform was demonstrated to federal regulators and served as the model for the Transparency in Coverage Rule. Our solutions guide members across the entire care journey: shop, decide, pay, and analyze.
With MyMedicalShopper™, members compare real prices and quality before choosing a provider, supported by ProScore™ ratings and Encounter Estimate™ pricing. MyMedicalRewards™ pays members for choosing high-value care. TALONPay™ processes point-of-service payment through a multi-purse wallet, and MyMedicalMetrics™ turns claims data into actionable cost and savings insight for plan sponsors.
The platform is built for compliance and scale: full Transparency in Coverage and No Surprises Act support, 99.9% MRF coverage, 25B+ claim records, and integration with 16+ claims administration platforms. TALON serves 80+ TPA and health plan clients today.
For TPAs, health plans, and self-funded employers, the outcome is the same: lower total medical spend, members who shop with confidence, and a plan that responds to real price signals.
Making Healthcare Make Sense.

Min. Group Size

100 eligible

Lives Serviced

1,800,000

Average Cost

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TALON Info

Founded:

2014

Funding Summary:

999.9K Private Equity Round

Location:

Portsmouth, NH

Links:

Employees:

40
In development since 2014, TALON was the only platform demonstrated to the federal government’s Health Policy Team who had been tasked with developing the Transparency in Coverage Rule. TALON’s platform was then used as the model upon which the... Show More

About this vendor

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In development since 2014, TALON was the only platform demonstrated to the federal government’s Health Policy Team who had been tasked with developing the Transparency in Coverage Rule. TALON’s platform was then used as the model upon which the new federal mandates are based. As a result, TALON has emerged as the leading compliance solution for the Transparency in Coverage Rule and the No Surprises Act.

On the day the Transparency in Coverage Rule was finalized, most existing healthcare price transparency tools became obsolete. Legacy tools with legacy architectures become noncompliant when real prices and patient out-of-pocket responsibilities must be displayed rapidly and accurately to comply with the Rule. It is therefore necessary to partner with TALON, to provide accurate negotiated rates to the consumer in a fully individualized user experience that supports consumers’ essential information needs at the time when healthcare purchase decisions are being considered and made.

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