Transparency +

Automate No Surprises Act and Transparency in Coverage Compliance

Transparency+ is a purpose-built platform designed to help health plans comply with federal transparency laws without adding extra operational work. Built on Salesforce, this platform adapts quickly to regulatory updates while automating the creation of machine-readable files, supporting ongoing reporting, and reducing compliance risks.

Designed for TPAs, provider networks, and complex health plans, Transparency+ ensures accuracy and consistency across every reporting cycle.

The Reality of Compliance Today

Regulatory demands continue to expand, while many organizations still rely on manual processes and disconnected tools. This creates unnecessary strain and makes accurate, repeatable execution harder to maintain.

Pressure squeezing

Key areas creating pressure include:

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No Surprises Act (NSA) obligations

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Transparency in Coverage (TiC) Requirements

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Machine-readable file generation at scale

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Data accuracy across recurring updates

Built for Transparency Compliance Execution

Transparency+ is not a bolt-on reporting feature or spreadsheet workaround. It is an infrastructure designed for healthcare transparency obligations. Unlike manual or reporting-based approaches, it brings data preparation, validation, and file output into a single, controlled process. The result is less operational friction and more dependable publishing from one cycle to the next.

Transparency+

Core Capabilities

Transparency+ offers key capabilities designed to support accurate, controlled execution across transparency-related workflows.

Automated Machine-Readable File Generation

Produce required files without manual formatting.

Data Validation

Ensure accuracy before publishing.

Regulatory Alignment

Supports current federal requirements such as the NSA and TiC Rule.

Scalable Infrastructure

Handles large data volumes.

Ongoing Monitoring

Tracks activity across reporting cycles.

Flexible Integration

Connects with existing systems.

How Transparency+ Works

Transparency+ is a structured workflow, built on Salesforce, that brings data preparation, validation, file output, and ongoing oversight into a unified system that adapts as requirements evolve.

Step One

Data ingestion from claims and pricing sources

Improve Execution and Reporting Reliability

Manual processes increase operational strain and introduce inconsistency into reporting. Transparency+ streamlines execution while improving data accuracy and reliability across every reporting cycle.

Operational Impact

  • Eliminate spreadsheet-driven processes
  • Reduce reliance on internal IT resources
  • Improve data consistency
  • Standardize reporting workflows

Risk Reduction

  • Reduce manual reporting errors
  • Ensure consistent file output
  • Strengthen audit readiness with structured outputs
  • Increase trust in published data

Built for Complex Health Plans

Transparency+ supports organizations operating in regulated, data-intensive environments.

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Third-Party Administrators

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Provider Networks & PPOs

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Taft-Hartley & Multi-Employer Plans

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Medicare Advantage Organizations

Integrates with Your Ecosystem

Transparency+ works alongside existing systems or as an extension of our Encompass+ platform. Its flexible architecture supports a practical implementation approach without replacing core infrastructure.

Integration is supported through

API-based data ingestion

Compatibility with existing claims systems including Encompass+

Rapid implementation and configuration

Simplify Transparency Compliance

Meet ongoing transparency obligations with a system designed to support consistent reporting and reduce operational strain across every cycle.

Frequently Asked Questions