Our “Transparency in Coverage” (TiC) solution is performance-based: no usage, no fee. We don’t just deliver TiC files and walk away – we only get paid when your compliance tools are actively used and create real member engagement.
Transparency in Coverage (TiC)
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Demonstration
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Benefits Operating System (BOS)
Compliance Features (TIC)
- Compliance Features (TIC)
- Provides real-time cost estimates for covered services.
- Includes estimates of the patient’s share of costs, including deductibles, copayments, and coinsurance.
- Accessible user-friendly experience
- HIPAA Compliant
Connected Benefits Infrastructure
- One app, one login, everything members need
- Your brand or your clients brand easily applied
- Load simple PPO plans or the most untraditional designs
- Unlimited add-on benefits
- Targeted in-app notices and push notifications
- Custom message center topics per group
- Personalized AI assistants
- Apple, Android and web portal access
Where We Excel
Unlike traditional programs, our bundled care delivery and support suite adds clinical horsepower and engagement tools to any plan – without increasing fixed costs-Transperra activates only when members engage – making it a cost-efficient way to improve outcomes and reduce risk
OUR SOLUTIONS
Service Categories
Clinical
National Direct Primary Care
Centers of Excellence – 2,000 surgeries at 1,500 locations
Rapid Kidney Transplant
Readmission Review and Inpatient Prevention
Ongoing Patient Remote Monitoring
Hazardous Pharmacy Review
Precision Chronic Pain Management
Specialty Infusion Centers
Readmission Review and Inpatient Prevention
Fertility, Maternity and Menopause Value Programs
Subclinical
Personalized Navigation Services
Large Prepaid Claim Review
Health and Success Coaching
Administrative
Provider Cost & Quality Rating Database (TIC)
Integrated TPA CareSync Console Communication Platform
Consolidated Vendor Invoicing
Data Analytics
Clinical
National Direct Primary Care
Centers of Excellence – 2,000 surgeries at 1,500 locations
Rapid Kidney Transplant
Readmission Review and Inpatient Prevention
Ongoing Patient Remote Monitoring
Hazardous Pharmacy Review
Precision Chronic Pain Management
Specialty Infusion Centers
Readmission Review and Inpatient Prevention
Fertility, Maternity and Menopause Value Programs
Subclinical
Personalized Navigation Services
Large Prepaid Claim Review
Health and Success Coaching
Administrative
Provider Cost & Quality Rating Database (TIC)
Integrated TPA CareSync Console Communication Platform
Consolidated Vendor Invoicing
Data Analytics
SOLUTIONS
Everything You Need to Reduce Cost and Enhance Care
TRANSPERRA services are modular, fully integrated, and built to support your model. We serve as a direct extension of your team – not a replacement.
- Navigation & Member Advocacy
- Transparency Intelligence Hub (Powered by Spectis Health)
- Pharmacy Advocacy & Sourcing
- Medical Cost Containment Programs
LET'S WORK TOGETHER
FREE CONSULTATION
Take the next step and find out how we can help you achieve more healthcare cost savings!
Navigation & Member Advocacy
Personalized Navigation That Saves Money and Protects Members
Features List
- Concierge scheduling and care coordination
- Real-time provider options with cost transparency
- Waived out-of-pocket expenses when members follow our plan
- Billing and claim advocacy support
- Mobile app, phone, chat, and self-service resources
Multi-Source, Multi-Modal Data Aggregation
While many platforms focus on a single data stream (e.g., Medicare or chargemasters), Spectis integrates ALL major pricing and quality data sources:
- Machine-readable files (MRFs) from hospitals and insurers
- De-identified paid claims data (commercial)
- Medicare fee schedules and benchmarks
- HCAPHS, MIPS, CMS Star Ratings for quality
- Episode-based crosswalks and bundled payment logic
- Chargemasters + Cash-Pay Prices + ASC data
- Very few platforms offer this depth across both pricing and quality, in real-time and normalized form.
Pharmacy savings that don’t sacrifice quality
At Transperra, we combine cutting-edge pharmacy advocacy with competitive PBM solutions designed to reduce pharmacy spend while maintaining the highest quality of care.
Our pharmacy services include:
- Rx Navigation Tools & Generic Sourcing: Empower members to choose affordable, effective medications with expert guidance.
- International Pharmacy Sourcing: Trusted global partners provide access to safe, cost-effective alternatives.
- 340B Program Access: Eligible clients benefit from expanded savings through the 340B drug pricing program.
- Transparent PBM Partnerships & Carve-Out Options: We offer clear, no-hidden-fee PBM solutions that integrate seamlessly or stand alone—giving you flexibility and control.
- Specialty Medication Sourcing & Management: Optimize costs and outcomes for complex therapies with tailored specialty drug programs.
Ready to see how we can lower your pharmacy costs without compromise?
