Talon
Talon (MMS Analytics) provides a cloud-based healthcare price transparency and claims repricing platform to health plans, TPAs, and self-funded employers, leveraging 25 billion claims and 400+ payer MRFs to deliver consumer shopping tools and UAPA-based reimbursement rates.
- Company typePrivate
- Founded2014
- HeadquartersPortsmouth, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What Talon does
Talon (legal entity MMS Analytics, Inc., d/b/a TALON) is a Portsmouth, New Hampshire-based healthcare price transparency software company founded in 2014 by Mark Galvin and Matt Robinson. The company sells a cloud-based platform that ingests and normalizes payer-negotiated machine-readable files (MRFs) from 400+ payers, cross-references them against a proprietary database of approximately 25 billion medical claims, and delivers personalized pricing, claims repricing, and consumer-facing shopping tools to health plans, third-party administrators (TPAs), self-funded employers, and benefits brokers.
The platform centers on three core product families: MyMedicalShopper (consumer cost-comparison shopping), UAPA / Universal Repricer (claims repricing and No Surprises Act QPA calculation), and TALONPay / MyMedicalRewards (HSA-linked rewards payments). Supporting modules include MyMedicalMetrics and Claims Hindsight (analytics), MyPlanGuide (benefit decision support), MRF Generation (regulatory compliance automation), and Alternative Health Plan Enablement (benefit design tooling). The platform is natively integrated with 16+ claims administration platforms including Facets, Mphasis Javelina, VBA, WLT, and Plexis, and is embedded into clearinghouse infrastructure via Smart Data Solutions.
Talon operates an enterprise SaaS model with annual subscription pricing quoted per implementation and likely scaled by covered lives. Revenue is generated through direct enterprise field sales (SVP of Payer Sales, VP of Growth Strategy, Chief Channel Officer) and a growing channel motion through embedded integration partnerships (HealthAxis, Blackhawk Claims Service, Smart Data Solutions, Concierge Administrative Services) and a benefits broker/advisor reseller network. The company is privately held, founder-owned, with no disclosed institutional funding rounds, and operates with 11-50 employees.
Talon firmographics
Firmographics- Name
- Talon
- Legal name
- MMS Analytics, Inc.
- Website
- https://talonhealthtech.com
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Talon (MMS Analytics) provides a cloud-based healthcare price transparency and claims repricing platform to health plans, TPAs, and self-funded employers, leveraging 25 billion claims and 400+ payer MRFs to deliver consumer shopping tools and UAPA-based reimbursement rates.
- Ownership category
- akta.pro rank
Talon industry classification
Industry- Product category
- Healthcare Price Transparency Software
- NAICS
- Software Publishers (5132), Software Publishers (51321)
- SIC
- Services-Prepackaged Software (7372), Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Care Navigation, Advocacy & Benefits Guidance Platforms (HLALADAJ)
- akta.pro secondary industry
- Policy Administration, Underwriting & Rating Platforms (Core Insurance SaaS) (FSAGAGAB)
Keywords
Where Talon is headquartered
LocationHeadquarters
- HQ city
- Portsmouth
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Talon business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations
Revenue model
- Healthcare Price Transparency Platform Subscription: TALON offers its healthcare price transparency platform to health plans, third-party administrators (TPAs), and self-funded employers on a subscription basis. The platform is sold as a licensed SaaS solution covering compliance (MRF generation), member-facing shopping tools (MyMedicalShopper), analytics (MyMedicalMetrics), and repricing capabilities (UAPA Universal Repricer). Pricing is quoted per implementation and likely varies by covered lives or plan size.
- Platform Integration and Implementation Services: TALON provides implementation and integration services for health plan and TPA clients, embedding its pricing engine into partners' existing claims administration platforms (e.g., HealthAxis, Blackhawk Claims Service, Smart Data Solutions). These partnerships represent both distribution and revenue-generating integration engagements.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise platform licensing for health plans, TPAs, and self-funded employers |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels7 records
Talon product offering
Product offeringCore offering
TALON develops a cloud-based healthcare price transparency SaaS platform that ingests, normalizes, and curates payer-negotiated machine-readable files and ~25 billion commercial medical claims to deliver precise personalized pricing, member shopping tools, and evidence-based reimbursement rates. It sells annual subscription licenses of this platform to U.S. health plans, third-party administrators, self-funded employers, and benefits brokers/advisors, with secondary revenue from implementation and integration services delivered via direct enterprise sales and embedded channel partnerships with claims administration and clearinghouse vendors.
Product overview
TALON offers a unified healthcare price transparency platform designed to make pricing actionable for consumers and compliant for health plans, TPAs, and self-funded employers. The platform is architected around core shopping and payment tools (MyMedicalShopper for cost comparison, TALONPay for rewards payment, UAPA for evidence-based reimbursement) supplemented by analytics (MyMedicalMetrics, Claims Hindsight), engagement tools (MyMedicalRewards, Consumer Interest Calculator, MyPlanGuide), and compliance automation (MRF Generation, Universal Repricer). The platform is built on approximately 4 billion medical claims and 25 billion pricing data points to power real-time, personalized cost estimates across millions of services and providers. Alternative Health Plan Enablement extends the platform to support next-generation benefit model design.
Differentiator
Problem solved
Functional benefit
Brands
- MyMedicalShopper™: Intuitive, mobile-first healthcare price transparency and cost comparison shopping platform.
- TALONPay™
- UAPA™ (Universally Acceptable Payment Amount)
- MyMedicalRewards™
- MyMedicalMetrics™
- MyPlanGuide™
- Consumer Interest Calculator™
- Claims Hindsight™
Products and services
- MyMedicalShopper Mobile-first healthcare price comparison and shopping platform that lets consumers compare provider costs, identify low-cost high-quality in-network care, and view personalized pricing based on network arrangements, plan design, and deductible consumption.
- TALONPay
Quantifiable outcome
- MRF cycle time reduced from 45 days to less than 1 day for Providence Health Plan
- +6 more outcomes
Companies that use Talon
Customer profileNamed customers6 records
Segments4 records
Ideal customer profiles4 records
Talon technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration10 records
AI capability6 records
Feature12 records
Talon partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered core and supporting.
- Smart Data SolutionscoreTALON and Smart Data Solutions expanded their strategic partnership integrating TALON's Universal Repricer and UAPA™ pricing technology into SDS's EDI clearinghouse infrastructure. The integration is already in production and scaling to reach more health plans, TPAs, and self-funded employers. The partnership addresses systemic healthcare overpayment by applying evidence-based pricing at the clearinghouse level, targeting the estimated $500 billion in annual employer healthcare overspend. Key capabilities include EDI 837 repricing, claim audit functionality, and compatibility with 16+ claims administration platforms.
- Blackhawk Claims ServicecoreTALON and Blackhawk Claims Service launched a fully integrated pricing solution empowering Blackhawk members with access to superior discounts based on commercially valid, equitable pricing. The integration embeds TALON's UAPA into Blackhawk's claims platform, delivering real-time, commercially validated pricing based on billions of pricing data points. Features include cost-effective pricing with upfront accurate cost estimates, seamless member experience embedded directly in the claims platform, and incentivized smart shopping through TALON's embedded incentive features.
- HealthAxiscoreTALON and HealthAxis announced a strategic partnership delivering end-to-end Transparency in Coverage Rule (TiC) compliance for health plans and third-party administrators. The integration combines TALON's price transparency engine and cost-comparison capabilities with HealthAxis's scalable core administration platform (AxisCore). Benefits include real-time connectivity with member health plan design, enhanced care navigation, guaranteed TiC compliance, and superior member experience.
- Concierge Administrative ServicessupportingConcierge Administrative Services was selected by TALON to administer and process claims for the National Equitable Healthcare Pricing Network. As a third-party administrator, CAS handles the administration and processing of healthcare claims using TALON's pricing technology.
- MedWatchsupportingTALON partnered with MedWatch to provide advocacy and concierge services for the initial deployment of the first National Equitable Healthcare Pricing Network. MedWatch provides white-glove member advocacy and concierge services, supporting members in navigating the healthcare system and accessing the pricing network's benefits.
Scale indicators9 records
Recent moves6 records
Expansion highlights6 records
Talon competitors and assessment
Company assessmentDirect peers
- Turquoise Health: Healthcare price transparency platform that publishes negotiated rates and offers compliance, shopping, and analytics tools to payers, providers, and employers — directly competing with TALON in the price transparency and TiC compliance category.
- Healthcare Bluebook: Healthcare cost and quality transparency platform for employers and TPAs that uses claims data to guide members to high-value providers — directly comparable to TALON's MyMedicalShopper navigation and rewards model.
- HealthSparq: Transparency, navigation, and provider search tools sold to health plans — overlapping with TALON's payer-facing shopping, cost-comparison, and engagement product set.
- Ribbon Health: Provider data and healthcare navigation platform that combines pricing, quality, and accuracy data to power member-facing decision tools — directly competitive with TALON's data-curation and shopping experience differentiators.
- Sapphire Digital (Trove Health): Healthcare shopping, transparency, and rewards platform historically sold to health plans and employers — directly overlapping with TALON's MyMedicalShopper and MyMedicalRewards incentive mechanics.
Broad incumbents
- Zelis: Large healthcare cost-containment and claims cost management platform offering repricing, network, and payment integrity capabilities — overlapping with TALON's Universal Repricer / UAPA claims-pricing value proposition at much broader scale.
- MultiPlan: Public, scaled cost-containment vendor offering repricing, network, and analytics for payers and TPAs — competing with TALON in the broader repricing and price transparency space from an incumbent position.
- Optum (Change Healthcare): Vertically integrated payer-services and clearinghouse business with deep claims data, repricing, and analytics capabilities — overlaps with TALON's UAPA-style repricing and price transparency offerings as part of a much broader portfolio.
- Castlight Health: Pioneer in employer-facing healthcare price transparency and navigation — directly comparable to TALON's MyMedicalShopper and benefits guidance model, now positioned within the Vera Whole Health ecosystem.
Emerging players
- Quest Analytics: Provider network analytics and access management platform with growing footprint in network adequacy and price transparency — adjacent to TALON's analytics and repricing capabilities with partial feature overlap.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks5 records
Key highlights7 records
Customer concentration
Talon social profiles
Digital presenceTalon compliance and trust
Trust signalCompliance2 records
Talon financial estimates
Financial estimateRevenue estimate
Valuation estimate
Talon leadership team
Management profileNumber of profiles
Profiles10 records
Talon funding detail
Funding detailFunding overview
Funding rounds2 records
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Talon M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Talon
What does Talon do?
TALON develops a cloud-based healthcare price transparency SaaS platform that ingests, normalizes, and curates payer-negotiated machine-readable files and ~25 billion commercial medical claims to deliver precise personalized pricing, member shopping tools, and evidence-based reimbursement rates. It sells annual subscription licenses of this platform to U.S. health plans, third-party administrators, self-funded employers, and benefits brokers/advisors, with secondary revenue from implementation and integration services delivered via direct enterprise sales and embedded channel partnerships with claims administration and clearinghouse vendors.
Is Talon a public or private company?
Talon is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Talon founded?
Talon was founded in 2014. It employs 11 to 50 people.
Where is Talon based?
Talon is headquartered in Portsmouth, United States, in the North America region.
How does Talon make money?
Two revenue lines are on record. Healthcare Price Transparency Platform Subscription is the primary driver. The others are platform Integration and Implementation Services.
Who are Talon's main competitors?
Direct peers on record are Turquoise Health, Healthcare Bluebook, HealthSparq, Ribbon Health and Sapphire Digital (Trove Health). Broad incumbents are Zelis, MultiPlan, Optum (Change Healthcare) and Castlight Health. Quest Analytics is listed as an emerging player.
Does Talon have an API?
Yes. TALON provides API access for claims repricing functionality. The platform offers real-time pricing API that processes EDI 837 transactions and returns repriced claims using UAPA rates. The No Surprises Act Tool automates QPA calculation by procedure, provider type, geography, and CPI-U adjustment, and reprices out-of-network claims via API.
What industry is Talon in?
Talon's product category is Healthcare Price Transparency Software. Its primary akta.pro industry code is HLALADAJ, Care Navigation, Advocacy & Benefits Guidance Platforms, with a secondary code of FSAGAGAB, Policy Administration, Underwriting & Rating Platforms (Core Insurance SaaS). Its NAICS code is 5132 and its SIC code is 7372.