Healthcare price clarity your members can trust.
Opyn Iris gives members the answers they need before care begins—clear, personalized cost estimates, quality insights, and transparent comparisons. Built for price transparency compliance and real-world decision-making, Iris turns complex data into simple choices.
Why We Built Opyn Iris
Pricing convenience, well beyond compliance.
Most transparency tools stop at regulation. Iris goes further—delivering personalized, intuitive insights that help members understand costs, compare options, and avoid unnecessary spending.
94%
of patients want upfront price estimates before getting care.
Source: TransUnion Healthcare
$1T
annual savings potential driven by price transparency — reducing waste, overcharging, and fraud.
Source: Economists, academics, and business leaders (Nov 2024)
67%
of patients say price transparency matters when choosing a provider.
Source: Accenture
For Members
What members can do with Iris
Iris gives members clear, personalized costs—and works hand-in-hand with Opyn agents, our AI-powered voice and chat assistants trained on your benefits, to offer real-time support whenever they need it.
Get personalized cost estimates
Upfront pricing for hundreds of procedures, personalized to each member’s deductible, copay, and coinsurance.
Understand coverage clearly
Real-time, benefit-based insights help members see what’s covered, what’s not, and what alternatives may cost. Members can search using natural language—no CPT codes required.
Shop confidently and avoid surprise bills
Side-by-side cost comparisons and NSA-aligned estimates help members choose lower-cost, high-quality options—and know exactly what to expect before care begins.
Find the right provider for the right need
Iris helps members access in-network, high-quality, preferred providers, as well as on-site clinics or telehealth—guided by their specific plan design.
Make confident care decisions
Iris turns complex pricing into simple, actionable guidance—reducing confusion and helping members choose financially smart options.
For plans
What plans can do with Iris
Opyn Iris gives organizations a seamless way to deliver price transparency, meet regulatory requirements, and empower members with real, personalized cost clarity. Built for TiC and NSA compliance, Iris makes transparency intuitive—not overwhelming.
Compliance without complexity
- Full alignment with the No Surprises Act and Transparency in Coverage requirements
- Automated rule and file updates
- Easy-to-use, consumer-ready price comparison tools
A seamless, integrated experience
- Connects multiple data sources
- Advanced analytics dashboard
- Admin tools for advocacy and care teams
Flexible, white-label design
- Custom branding and UI
- Direct access or SSO
- Integrates with existing solutions
Accurate, real-time intelligence
- Real member costs
- In-network/out-of-network status
- AI-assisted data verification
- Cost and quality comparisons
Advanced filtering & data management
- Procedure-level cost comparisons
- CMS & plan-preferred quality ratings
- Save favorite providers
- Share via email, text, or print
Opyn's PlaTform
Learn more about Opyn’s solutions:
Opyn earns 5-star reviews for the experience it delivers — for admins, members, and partners.
“Marpai is driving operational improvements and our strategic integration of Opyn’s platform is the next leap forward in our TPA evolution.”
— John Powers, President of Marpai
