Transparent Healthcare

What Transparent Healthcare does

Transparent Health Group, LLC (operating as Transparent Healthcare / THG) is a US-domiciled private LLC founded in 2008 and headquartered in Swarthmore, Pennsylvania, that delivers technology and operational services to Third Party Administrators (TPAs) and health insurance carriers serving self-funded health plans. The company's core offering centers on the proprietary Veridy platform, which integrates Data Hub (eligibility feed normalization via flat file or API), Billing & Funds Management (enrollment, eligibility, invoicing, payment processing for individual and group billing, with split payments and vendor remittance), QuickEnroll (individual/1099/association plan enrollment), a Mobile App (native iOS/Android with ID cards, policy details, provider search, claims, and one-click customer service), and a multi-portal suite for Employees, Employers, and Vendors. Alongside the technology, Transparent provides managed services including concierge benefits navigation (outbound welcome calls, multi-lingual support, cost-containment education), provider services (proactive micro-network contracting and pre-appointment outreach), and operates as a TPA itself via the wholly-owned subsidiary Precision Group Administrators LLC. The company was co-led at the time of disclosure by CEO Betty Heiman and President Andy Rieger, each with over 30 years of healthcare and health insurance experience.

The company monetizes through two streams: managed services fees for concierge customer service, claims handling, and provider services delivered to TPAs and carriers, and subscription/recurring technology fees for Veridy platform access and branded portals. Its stated go-to-market is B2B enterprise sales direct to TPAs and health insurance carriers, with a tactical integration with Employee Navigator extending reach into broker and employer enrollment workflows. There is no public pricing disclosure, no disclosed funding rounds, no identified parent or external investor, and no patent portfolio; the company emphasizes HIPAA and SOC 2 Type 2 compliance, hosting data in SOC 2 certified data centers. Operational scale is reported at 11-50 employees with US-only geographic footprint, and product launch activity has been steady through 2024-2025 with feature additions to billing, mobile, and document workflows.

Name

Transparent Healthcare

Legal name

Transparent Health Group, LLC

Website

https://transparenthg.com

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

11–50 employees

Short description

Transparent Health Group is a US-based private company that provides technology and managed services via its Veridy platform to Third Party Administrators and health insurance carriers serving self-funded health plans, including billing, eligibility, enrollment, portals, and concierge member engagement.

Ownership category

akta.pro rank

Product category

Healthcare Administration Technology

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Self-Funded Employer Plan TPA (ASO Administration) (HLAEALAA)

akta.pro secondary industries

Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ), Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN)

Keywords

• TPA technology platform
• Health plan administration
• Benefits navigation services
• Member engagement portal
• Claims management software

Headquarters

HQ city

Tempe

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales

Revenue model

1. TPA Operational Services: Provides operational services for Third Party Administrators including concierge customer service, claims support, and provider services. Revenue derived from service fees charged to TPAs for enhanced operational capabilities.
2. Veridy Technology Platform: Provides technology and portal services to TPAs and health plans including billing, enrollment, eligibility, and funds management. Makes these services available to small and medium-sized TPAs without significant capital investment.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels1 record

Core offering

Transparent Health Group operates as a Third Party Administrator (TPA) technology and services provider, offering a unified software platform called Veridy that supports billing and funds management, data integration, enrollment, member portals, and a mobile app. The company also delivers concierge-level operational services including benefits navigation and provider services for self-funded health plans, TPAs, and health insurance carriers.

Product overview

Transparent Health Group operates as a Third Party Administrator (TPA) technology and services provider, offering a unified platform called Veridy that encompasses Data Hub & Enrollment, Billing & Funds Management, and Mobile Application capabilities. The Veridy platform is complemented by professional services including Benefits Navigation (concierge customer service), Provider Services, and Portal Technology for Employees, Employers, and Vendors. The company also provides Concierge Customer Service that works with self-funded health plans through outbound welcome calls and ongoing member engagement. Founded in 2008, the company serves TPAs and health insurance carriers seeking operational services and technology solutions.

Differentiator

Problem solved

Functional benefit

Brands

• Veridy: Billing & Funds Management System providing enrollment, eligibility, billing, payment processing, and portal technology services for TPAs and Health Programs. Also includes mobile app, data hub, and QuickEnroll technology.

Products and services

• Veridy Platform
• Benefits Navigation
• Provider Services
• TPA Operational Services

Quantifiable outcome

• Nearly 100% success in getting members into doctor offices at contracted rates for plan designs

Segments4 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• BenefitMall: Employee benefits TPA and technology provider serving brokers, employers, and carriers. Comparable to THG in offering TPA-adjacent billing, enrollment, and benefits administration services to similar buyer segments.
• DataPath: Provides benefits administration technology and TPA services including billing, enrollment, and account management. Closely mirrors THG's combined TPA-tech-and-services model for self-funded plan administration.
• Selerix Systems: Benefits administration and enrollment software serving TPAs, insurers, and employers. Comparable to THG's Veridy platform in functionality, with overlap on employer/member portals, enrollment, and billing workflows.
• HealthEdge Software: Provides core administration, care management, and member engagement software to health plans and TPAs. Closely comparable to THG's Veridy platform in serving TPA-adjacent buyers with operational technology, though at much larger enterprise scale.
• PlanSource Benefits: Cloud-based benefits administration and enrollment platform for employers and TPAs. Directly comparable to THG's Data Hub & Enrollment and Portal Technology products and competes for similar mid-market TPA and employer buyers.
• HealthAxis Group: Provides technology, BPO, and TPA services for health plans, self-funded employers, and TPAs, including core administration and member engagement. Comparable to THG's blended platform-and-services model.

Broad incumbents

• Benefitfocus: Large benefits administration platform serving employers, carriers, and TPAs across enrollment, billing, and member engagement. Overlaps with THG's portal, enrollment, and billing offerings but at materially greater scale and with a broader product portfolio.
• bswift: Benefits administration vendor offering enrollment, billing, and exchange technology to employers, brokers, and TPAs. A broader incumbent competing against THG's Veridy platform for similar mid-market and TPA buyer segments.
• Zelis: Healthcare cost management platform offering claims cost containment, network management, and integrated payments. Adjacent to THG's provider services and cost-containment member engagement for self-funded plans.
• MultiPlan: Network and cost management company serving TPAs, insurers, and self-funded plans. Comparable to THG in serving the self-funded/RBP buyer base, but at vastly larger scale across PPO, RBP, and PHCS networks.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/CareICanAfford
• Facebookfacebook.com/TransparentHealthNetwork
• LinkedInlinkedin.com/company/transparent-health-group-llc

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Transparent Healthcare