OpenNetworks gives you a transparent, direct-contract network to bring to your clients — without disrupting the administration you already run or the relationship you already own.
Keep processing claims exactly as you do today. OpenNetworks reprices claims against the rates your client's network was built on, then hands them back into your existing adjudication process — no new system for your team to learn.
Bring clients a network built around their own population and budget, with visible rates instead of a black box. It's a concrete answer to "why is healthcare so expensive" that most books of business don't have yet.
Claims still route through your existing systems and workflows — OpenNetworks sits underneath, not on top.
A transparent, direct-contract network is a genuine point of difference in a market full of identical carrier panels.
OpenNetworks doesn't hold insurance risk — you're recommending a technology platform, not underwriting a new plan.
PEPM pricing is easy to quote and easy for your client to budget against, with nothing hidden to explain later.
A network built around their own employee population, not a generic panel.
Full visibility into provider rates and claims — not just a summary invoice.
A flat per-employee fee, with no percent-of-savings or hidden markup.
An employee experience that looks and feels the same as their existing plan.
No. OpenNetworks isn't a TPA and doesn't administer plans. It reprices claims against direct-contract rates and hands the result back into your existing adjudication process — your role as administrator is unchanged.
Broker compensation is arranged separately between the broker and their client, exactly as it is today — OpenNetworks doesn't insert itself into that relationship or fee structure.
OpenNetworks works with you to build a custom network from participating providers, sets up claims repricing against your client's existing TPA workflow, and issues member ID access — with no disruption to the client's current plan administration.