Questions, answered

Let’s make
things clear.

How the platform works, who does what, and what it means for your organization.

Claims repricing applies the agreed contract rate to a submitted claim, rather than treating the billed charge as the contracted amount. OpenNetworks returns the priced claim to the employer or TPA for final adjudication and payment.

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Transparency starts with a conversation.

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Let’s makethings clear.

01What is claims repricing?

02Can we keep our existing TPA?

03What is provider network management?

04How do we evaluate a network before launch?

05What is OpenNetworks?

06How is it different from traditional insurers?

07Isn’t this just another provider network?

08How do purchasers benefit?

09Can employers and brokers build a network à la carte?

10Does OpenNetworks do claims editing?

11Who pays providers?

12How are stop-loss coverage and claim picks handled?

13How is administration simplified?

14How does OpenNetworks make money?

15How do I get on the platform?

Transparency starts with a conversation.

Let’s make
things clear.