Payers

Transparency in coverage is easier than you think.

Stay ahead of CMS requirements while driving value-based care decisions for members.

product-image

Payer regulation resources.

Requirements Timeline

July 1, 2022 - Machine-readable files posted in public containing:

  • In-network all service file
  • Out of network historical file

January 1, 2023 - User-friendly member estimate tool for 500 specified services.

January 1, 2024 - User-friendly member estimate tool for all items and services.

clear rates data

Explore the formerly unknown.

Dig into our Clear Rates Data featuring over a trillion records of never-before-seen hospital, payer, professional, drug, and device rates.

Learn More About Clear Rates Data

Rate Sense.

The easy-to-access dashboard for exploring any market, service code, or payer/plan.

Custom Rates.

View, filter, and benchmark a custom slice of payer data.

Rates API.

Integrate our rates directly into your software surfacing the desired data as needed.

Clear Contracts

Seal the deal with Clear Contracts.

Revolutionize the way you negotiate agreements by using the industry's first managed care contracting software made specifically to lower the administrative burden of healthcare.

Learn More About Clear Contracts

Network optimization.

Round out your network and deliver the best care to your members.

Rate benchmarking.

Vet proposed rates with rate benchmarking built directly into your workflow.

Multiple contract types.

Sign Single Case Agreements, No-Surprises Disputes, or Group Health contracts.

Compliance+

All the cool kids are doing it.

Become fully compliant with CMS-9915-F while offering members a simple browsing experience. The suite includes our Compliance Software, MRF creation, and estimate tools.

Learn More Compliance+

Member estimate tool.

Built directly into your website, easily comply with both estimate tool requirements.

Machine-readable file.

CSV? JSON? We'll fret over the requirements for you. Consider your file sorted.

Advanced EOBs

Deliver Advanced EOBs with the click of a button or the drop of a hat.

Turquoise Verified

Get verified for a competitive edge.

You did the work to comply, why not make it official? Turn price transparency into a competitive edge by becoming Turquoise Verified. Don't worry, it's free.

Learn More About Turquoise Verified

All the compliance, with none of the hassle.