Opyn Iris
Your effortless solution for powerful and compliant healthcare price transparency, directory management and network management.
Healthcare transparency insights
of patients say price transparency is important when choosing a healthcare provider.
annual savings potential from healthcare price transparency by reducing administrative waste, overcharging, and fraud.
of patients want upfront price estimates before getting care.
Why Healthcare Price Transparency Matters
Patient Healthcare Preferences
Hospital Compliance With Price Transparency
Patients Want Upfront Price Estimates
Find Your Healthcare Provider or Estimate a Cost
Discover the perfect healthcare provider for your need or estimate the cost of a procedure with our comprehensive search tools. Compare options, view ratings, and make informed decisions for your health journey.
Quality Ratings
Filter results and view CMS star ratings to ensure top-quality care.
Search for Cost Estimates and Providers
Easily compare procedure costs and find qualified healthcare providers that match your insurance coverage and budget.
Location-Based Search
Search by location to find nearby clinics and specialists for your procedure.
Key Features
Our platform provides comprehensive healthcare management tools designed to enhance transparency and accessibility.
- Maintain full regulatory compliance
- Beyond compliance with user-friendly tools
- Automated updates for regulatory changes
- Multiple data sources integration
- Advanced analytics dashboard
- Admin tools for health advocacy vendors
- Integrate with existing healthcare solutions
- Direct access or SSO authentication
- Custom branding and user interface
- Comprehensive provider search functionality
- Real-time pricing transparency with upfront cost estimates
- AI-powered accuracy validation
- Generous pool of providers in our networks
- In-depth provider ratings and cost comparisons
- Directory services that align consumers with best providers
- Quality ratings imported from CMS and health plan preferences
- Save Medical Team data for quick access
- Share information via email and text or print
- Up-to-date real member costs
- Accurate in-network/out-of-network status
- Personalized benefit summaries
- Provider management with comprehensive network access
Healthcare Transparency Laws Evolution
The journey to greater price transparency in healthcare
Hospital Price Transparency Rule Announced
The Centers for Medicare and Medicaid Services (CMS) issued the final rule requiring hospitals to disclose standard charges for items and services.
Hospital Price Transparency Rule Takes Effect
Hospitals were required to begin publishing their standard charges, though compliance rates remained low in the first year.
Transparency in Coverage Final Rule
The Departments of Health and Human Services, Labor, and Treasury issued the Transparency in Coverage final rule.
No Surprises Act Passed
Congress passed the No Surprises Act as part of the Consolidated Appropriations Act of 2021.
No Surprises Act Takes Effect
The No Surprises Act becomes effective, preventing surprise billing for emergency services and certain non-emergency services.
Transparency in Coverage Rule Phase 1
Insurers required to publish machine-readable files showing in-network provider rates and out-of-network allowed amounts.
Transparency in Coverage Rule Phase 2
Insurers required to provide an online shopping tool with cost estimates for 500 shoppable services.
Transparency in Coverage Rule Final Phase
Insurers required to expand online shopping tools to include all covered items and services.
