Auryn
Auryn is an AI-powered cost containment service for self-insured employers that prices care before booking, handles prior authorization, and audits every facility bill regardless of member engagement. The platform uses SMS-based member navigation to steer patients toward lower-cost, quality-screened providers, paying members cash incentives like $150 for choosing a recommended imaging center. Auryn also defends savings determinations under the No Surprises Act when providers dispute audit findings.
- Healthcare Technology
- Insurance Technology
- Digital Health
- Software Only
- Artificial Intelligence
Funding
Founders
Founder details are not available yet.
Product
Problem
Healthcare costs are rising at 6.5% per year—the fastest rate in 15 years—making it employers' fastest-growing expense. Members routinely overpay for care due to wide price variation for the same procedures, while facility billing errors and prior authorization denials drive additional plan spend and patient abandonment of treatment.
Solution
Auryn is a member-guided savings platform that works directly with employers and their members to reduce healthcare spending before and after treatment. Before care is booked, members text Auryn to receive in-network options with real prices and quality signals, and the company handles scheduling. After treatment, Auryn audits every facility bill against provider records, updated rates, and billing-code standards before any dollar leaves the plan—with a $0 review threshold covering all facility claims. The platform also confirms prior authorization requirements in real time, surfaces missing documentation, and supports compliant submissions to prevent denials. When providers dispute savings determinations, Auryn defends the results under the No Surprises Act so recovered dollars stay recovered.
Target Audience
Primary customers are employers with self-funded health plans—particularly those with 5,000 or more employees—and the brokers who advise them on benefits strategy.
Features
- Pre-treatment care shopping delivered via SMS with in-network pricing and quality signals, returning guidance in seconds rather than business days
- $0 review threshold for post-treatment bill audits, checking 100% of facility claims against provider notes, updated rates, and billing-code standards
- Real-time prior authorization confirmation with missing-documentation alerts and compliant submission support
- No Surprises Act IDR arbitration defense to protect savings determinations from provider disputes
- 24/7 expert patient navigation over SMS/text or portal with no app download required
- Single TPA integration plus benefits link for seamless deployment across the plan
- Quality guard screening of providers for network status, accreditation, licensure, OIG exclusion, CMS flags, and Leapfrog grades
- Cash-back incentives paid directly to members for choosing lower-cost, quality-screened providers