OccuNet
OccuNet is a privately held healthcare cost containment firm that delivers out-of-network claims repricing, reference-based pricing, and pass-through pharmacy benefit management to self-insured employers, TPAs, payers, and brokers via its proprietary OnPoint technology platform and Fairos Alliance provider network.
- Company typePrivate
- Founded1998
- HeadquartersAmarillo, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What OccuNet does
The OccuNet Company is a privately held, family-owned healthcare cost containment firm headquartered in Amarillo, Texas, founded in 1998 and operating under Fairly family leadership. The company sells an integrated suite of three solutions — OccuNet (out-of-network claims repricing and negotiation for TPAs, payers, and health plans), Fairos (reference-based pricing health plans that replace or augment conventional PPO coverage), and FairosRx (a transparent pass-through pharmacy benefit manager) — supported by the proprietary OnPoint technology platform, which provides SOC 2-certified, HIPAA-compliant claims routing, contract applications, real-time analytics, and EDI/API integrations. Reported outcomes include 30%+ average employer healthcare cost reduction, a 74.7% historical average savings on out-of-network claims, 97.9% client retention, and 83.5 member NPS, alongside the Fairos Alliance network of 36,000+ direct provider agreements and 740,000+ unique provider locations across 12 states. Revenue is generated through a mix of transaction fees on repriced claims (OccuNet), per-member-per-month administrative fees and performance-based savings arrangements (Fairos), and per-prescription administrative fees on a pass-through PBM model (FairosRx). The company distributes primarily through direct enterprise field sales to self-insured employers and channel partnerships with TPAs, brokers, and stop-loss carriers, with HealthComp/BAS disclosed as a founding partner and preferred-vendor relationship serving over 30,000 members.
OccuNet firmographics
Firmographics- Name
- OccuNet
- Legal name
- OccuNet, LLC
- Website
- https://occunet.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- OccuNet is a privately held healthcare cost containment firm that delivers out-of-network claims repricing, reference-based pricing, and pass-through pharmacy benefit management to self-insured employers, TPAs, payers, and brokers via its proprietary OnPoint technology platform and Fairos Alliance provider network.
- Ownership category
- akta.pro rank
OccuNet industry classification
Industry- Product category
- Healthcare Cost Containment Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN)
- akta.pro secondary industries
- Insurance Claims Intake & FNOL Support (BPAAAFAA), Copay Assistance, Patient Support & Affordability Programs (HLAEAKAI)
Keywords
Where OccuNet is headquartered
LocationHeadquarters
- HQ city
- Amarillo
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
OccuNet business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- OccuNet Out-of-Network Solutions: Healthcare cost containment services for out-of-network claims, including bill review, medical contract negotiations, and repricing. Revenue generated through transaction fees on claims processed and negotiated savings.
- Fairos Reference-Based Pricing: RBP solution for self-funded employer groups that replaces or enhances conventional PPO plans. Generates revenue through administrative fees per member per month and performance-based savings arrangements.
- FairosRx Pharmacy Benefit Management: 100% pass-through PBM model where FairosRx returns 100% of all discounts or rebates directly back to clients. Revenue derived from administrative fees per prescription and pharmacy network arrangements.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Fairos Reference-Based Pricing - Customized employer plans |
| Subscription | Monthly | FairosRx Pharmacy Benefit Management - Transparent PBM |
| Transaction based/ take rate | Pay-as-you-go | Workers' Compensation - Customized cost containment |
Go-to-market motion2 records
Distribution channels6 records
Marketing channels8 records
OccuNet product offering
Product offeringCore offering
OccuNet is a healthcare cost containment company that provides out-of-network (OON) solutions, reference-based pricing (RBP), and pharmacy benefit management (PBM) services to self-insured employers, third-party administrators, payers, stop-loss carriers, brokers, and medical providers. Founded in 1998 and headquartered in Amarillo, Texas, the company delivers its services through a proprietary technology platform called OnPoint, and operates distinct service brands including Fairos (RBP), FairosRx (PBM), and the original OccuNet OON program for commercial, Taft-Hartley, accident & health, and workers' compensation lines of business.
Product overview
The OccuNet Company offers an integrated suite of three core healthcare cost containment solutions unified by its proprietary OnPoint technology platform: OccuNet (out-of-network solutions for TPAs, payers, and health plans), Fairos (Reference-Based Pricing that replaces PPO plans with Medicare-based benchmarks), and FairosRx (transparent Pharmacy Benefit Manager with pass-through pricing). The OnPoint OS powers all solutions with automated claims processing, real-time analytics, configurable workflows, and SOC 2/HIPAA-compliant security. Additional modules include Workers' Compensation cost containment, Accident & Health solutions, and Fairos Alliance high-performance provider networks. The integrated approach enables total cost tracking across medical and pharmacy claims with a single point of contact.
Differentiator
Problem solved
Functional benefit
Brands
- Fairos: Reference-Based Pricing (RBP) solution for self-funded employer healthcare that replaces or enhances conventional PPO plans.
- FairosRx
- OnPoint
Products and services
- OccuNet Out-of-Network Solutions (Commercial & Taft-Hartley) Out-of-network cost containment service for commercial and Taft-Hartley benefit plans that negotiates and reprices OON medical claims to reduce employer spend.
- OccuNet Accident & Health Out-of-network cost containment solution for accident and health insurance products, including limited benefit and supplemental plans.
- OccuNet Workers' Compensation
- Fairos Reference-Based Pricing Reference-based pricing service that sets reimbursement for medical claims against a transparent benchmark (commonly Medicare-based multiples) rather than PPO-discounted rates, with provider negotiation support.
- FairosRx Pharmacy Benefit Manager Pharmacy benefit management service that negotiates drug pricing, manages formularies, and processes pharmacy claims for self-insured plans and payers as part of the Fairos cost containment offering.
- Fairos Alliance Channel and partnership program that delivers Fairos reference-based pricing solutions to employers through brokers, consultants, and stop-loss carrier relationships.
Quantifiable outcome
- 30%+ reduction in annual employer healthcare costs
- +7 more outcomes
Companies that use OccuNet
Customer profileNamed customers6 records
Segments6 records
Ideal customer profiles6 records
OccuNet technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability3 records
Feature5 records
OccuNet partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered minor, core and major.
- Ryan PalmerminorFour-time PGA TOUR winner and Amarillo native Ryan Palmer serves as brand ambassador for The OccuNet Company. Palmer wears company logo on hat during 2026 competitions including the OccuNet Classic, and participates in select company engagements.
- Korn Ferry Tour / Framework Events / Tascosa Golf ClubcoreFive-year partnership (2026-2030) to host the OccuNet Classic professional golf tournament at Tascosa Golf Club in Amarillo. The Korn Ferry Tour event brings the next generation of PGA TOUR stars to Amarillo, showcasing the company nationally and internationally while supporting the local community.
- Keegan Swenson and Sofia Gomez VillafaneminorProfessional gravel cyclists serve as brand ambassadors for Fairos healthcare solution. Sponsorship provides health benefits and highlights connection between gravel cycling's disruptive nature and Fairos' mission to simplify and reduce healthcare costs.
- Health Ohio Network (HON)majorAcquisition of Health Ohio Network expanding Fairos Alliance in the Midwest. The acquisition adds 109 hospitals, 2,500 facilities, and 81,000 providers to The OccuNet Company's provider network, enhancing Fairos Alliance solution across Ohio markets.
- Marty Joseph / HealthCompcoreMarty Joseph, founding member of HealthComp (formerly BAS), joins as EVP Strategic Partnerships. HealthComp established a RBP Center of Excellence that has served over 30,000 members. Fairos became HealthComp's preferred RBP partner, creating a preferred vendor relationship.
- West Texas A&M University - The Hill InstituteminorAlex and Cheryl Fairly made the most significant family gift in WT's history to establish The Hill Institute, promoting core values through faculty and student involvement. The naming honors the Fairly family's contributions to WT's athletic program and the university.
- Learfield IMG College (Texas Tech, University of Texas, Texas A&M)coreMulti-school athletics marketing partnership through Learfield IMG College providing hyper-targeted, co-branded advertising exposure to fans of Texas Tech, University of Texas, and Texas A&M. The partnership aims to raise awareness around employer healthcare cost challenges and position Fairos as a proven solution reducing employer healthcare costs by up to 30%.
Scale indicators14 records
Recent moves7 records
Expansion highlights6 records
OccuNet competitors and assessment
Company assessmentDirect peers
- Zelis: Closest direct competitor offering integrated healthcare cost containment including claims repricing, network solutions, and PBM services. Multiple OccuNet executives (Tiago Gnanasekaran, Carol Lockwood) previously held senior roles at Zelis, and the two compete head-to-head for TPA and payer business.
- SmithRx: Transparent pass-through pharmacy benefit manager competing directly with FairosRx. Targets self-funded employers seeking alternatives to traditional PBMs with 100% pass-through rebate models similar to FairosRx.
- 6 Degrees Health: Reference-based pricing and healthcare cost containment solution for self-funded employers and TPAs. EVP Technology Tiago Gnanasekaran previously led product and technology teams at 6 Degrees Health, indicating direct competitive overlap.
- Vālenz Health: Integrated healthcare cost containment platform combining payment integrity, RBP, PBM, and provider network solutions for self-funded employers. Highly comparable business model to OccuNet's OccuNet/Fairos/FairosRx portfolio.
- Advanced Medical Pricing Solutions (AMPS): Direct competitor in reference-based pricing for self-funded employers and health plans. OccuNet's EVP of Sales Phil Valk previously led enterprise sales at AMPS, indicating direct head-to-head competition in the RBP space.
Regional players
- HealthComp Holdings: Third-party administrator and strategic channel partner of OccuNet (serving 30K+ members via Fairos RBP Center of Excellence). Functions as both customer/partner and indirect competitor in the TPA/cost-containment space.
Emerging players
- Capital Rx: Technology-driven transparent PBM with proprietary JUDI platform, competing against FairosRx in the innovation-led, pass-through PBM segment for self-funded employers.
- Navitus Health Solutions: Pass-through PBM providing transparent pharmacy benefit management to health plans, employers, and government programs. Competes with FairosRx in the transparent PBM market segment.
- RxBenefits: PBM partner for self-funded employer plans and TPAs, focused on transparent pharmacy benefit solutions. Competes with FairosRx in the employer/TPA channel for transparent PBM services.
Broad incumbents
- MultiPlan: Publicly traded incumbent offering claims cost management, network-based solutions, and data analytics for payors, TPAs, and self-funded employers. Competes with OccuNet's out-of-network repricing and bill review services at greater scale.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
OccuNet social profiles
Digital presenceOccuNet compliance and trust
Trust signalCompliance2 records
OccuNet financial estimates
Financial estimateRevenue estimate
Valuation estimate
OccuNet leadership team
Management profileNumber of profiles
Profiles20 records
OccuNet subsidiaries and ownership
Company hierarchySubsidiaries1 record
OccuNet funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
OccuNet 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 OccuNet
What does OccuNet do?
OccuNet is a healthcare cost containment company that provides out-of-network (OON) solutions, reference-based pricing (RBP), and pharmacy benefit management (PBM) services to self-insured employers, third-party administrators, payers, stop-loss carriers, brokers, and medical providers. Founded in 1998 and headquartered in Amarillo, Texas, the company delivers its services through a proprietary technology platform called OnPoint, and operates distinct service brands including Fairos (RBP), FairosRx (PBM), and the original OccuNet OON program for commercial, Taft-Hartley, accident & health, and workers' compensation lines of business.
Is OccuNet a public or private company?
OccuNet is a private company. It is classified as family owned and is currently operating.
When was OccuNet founded?
OccuNet was founded in 1998. It employs 101 to 250 people.
Where is OccuNet based?
OccuNet is headquartered in Amarillo, United States, in the North America region.
How does OccuNet make money?
Three revenue lines are on record. OccuNet Out-of-Network Solutions are the primary driver. The others are fairos Reference-Based Pricing and fairosRx Pharmacy Benefit Management.
Who are OccuNet's main competitors?
Direct peers on record are Zelis, SmithRx, 6 Degrees Health, Vālenz Health and Advanced Medical Pricing Solutions (AMPS). HealthComp Holdings is listed as a regional player. Emerging players are Capital Rx, Navitus Health Solutions and RxBenefits. MultiPlan is listed as a broad incumbent.
Does OccuNet have an API?
No public API is recorded for OccuNet.
What industry is OccuNet in?
OccuNet's product category is Healthcare Cost Containment Services. Its primary akta.pro industry code is FSAIAFAN, Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans, with a secondary code of BPAAAFAA, Insurance Claims Intake & FNOL Support. Its NAICS code is 524292 and its SIC code is 6324.