Turquoise Health

by Turquoise Health
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OVERVIEW

An AI-powered healthcare pricing and contract intelligence platform for price transparency compliance, rate negotiation, and patient cost estimation.

Turquoise Health is the industry's leading healthcare pricing platform, founded in 2020, dedicated to eliminating the financial complexity of healthcare. It serves as a comprehensive data and software solution for providers, payers, employers, and life sciences organizations. The platform aggregates over a trillion records of provider, payer, professional, drug, and device rates to make medical pricing transparent, accessible, and actionable.

Key Product Modules:

  • Clear Rates Data: Provides access to a vast database of negotiated rates for competitive benchmarking, market analysis, and strategic pricing decisions.
  • Clear Contracts: An AI-powered contract intelligence platform for managed care contracting, supporting contract creation, negotiation, and secure storage, and offering rate benchmarking using a master matrix view.
  • Compliance+: A suite of tools to ensure full compliance with US price transparency regulations, including the Hospital Price Transparency Final Rule, Transparency in Coverage Final Rule, and the No Surprises Act. This includes Machine-readable File (MRF) creation and patient estimate tools.
  • Instant GFE (Good Faith Estimate): A free, HIPAA-compliant provider workflow tool for frictionless No Surprises Act compliance, allowing for the convening of estimates from multiple co-providers.
  • Analytics & Search: Tools for querying, benchmarking, and visualizing market-level rate data, including a consumer-friendly Care Search dashboard for patients to compare costs.

The platform is designed to help organizations turn regulatory compliance from a burden into a strategic advantage, enabling them to optimize pricing strategies, control costs, and improve the patient experience.

RATING & STATS

Customers
100+
Founded
2020

KEY FEATURES

  • Clear Rates Data (Trillion+ Records)
  • Clear Contracts (AI-powered CLM)
  • Compliance+ (MRF & Patient Estimate Tools)
  • Instant Good Faith Estimates (GFE)
  • Rate Benchmarking & Analytics
  • Rates API Access
  • Care Search for Patients

PRICING

Model: enterprise
The core platform is subscription-based for enterprise clients (providers, payers, employers, life sciences). The 'Instant GFE' tool and 'Turquoise Verified' program are offered for free. Pricing is not publicly disclosed.
FREE TRIALFREE TIER

TECHNICAL DETAILS

Deployment: saas, cloud
Platforms: web
🔌 API Available

USE CASES

Hospital Price Transparency CompliancePayer Transparency in Coverage ComplianceNo Surprises Act Compliance (GFE)Managed Care Contract NegotiationCompetitive Rate BenchmarkingPatient Cost Estimation

INTEGRATIONS

Ribbon HealthPolicy Reporter by Mercalis

COMPLIANCE & SECURITY

Compliance:
SOC 2 Type IIHIPAA
Security Features:
  • 🔒SOC 2 Type II Compliance
  • 🔒HIPAA-compliant workflows
  • 🔒Continuous Monitoring

SUPPORT & IMPLEMENTATION

Support: phone, 24/7 support, email
Target Company Size: small, medium, enterprise

TRY IT OUT

ABOUT TURQUOISE HEALTH

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