TOG
TOG Network Solutions is a US private professional services and technology firm that builds and manages provider networks for health insurance payers across commercial, Medicaid, Medicare, QHP, and military lines of business, using proprietary Provider Data Management and Network Intelligence platforms and a multi-payer enterprise client roster.
- Company typePrivate
- Founded2013
- HeadquartersFernandina Beach, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What TOG does
TOG Network Solutions (legal entity TOG, LLC) is a private US professional services and technology firm founded in 2013 by Sarah Mahoney-Olofson and headquartered in Youngstown, New York (with additional presence in Fernandina Beach, FL). The company builds and optimizes provider networks on behalf of health insurance payers and managed care organizations across commercial, QHP/Exchange, Medicaid, Medicare, and military lines of business. Its customer base spans large national carriers (UnitedHealthcare, Anthem, Kaiser, Centene, Humana, Cigna, CVS Health/Aetna, Molina) and regional/ safety-net plans (CareSource, BCBSWNY, Excellus, Medica, Tricare, and others).
The company's offering sits at the intersection of professional services and proprietary technology. TOG deploys two core platforms: a Provider Data Management Platform marketed as 'the market's most precise', which functions as a single-source CRM integrating with payer claims, credentialing, and analytics systems; and a Network Intelligence Platform that unifies six dimensions of the network operations lifecycle (strategic positioning, cost & contracting, breadth & depth, access & availability, quality & performance, and member experience & choice). These platforms are wrapped by service modules including Network Strategy, Provider Recruiting & Contracting, Access & Adequacy Reporting, and NCQA CVO Credentialing. The company claims sole-provider status in pre-engagement ROI forecasting for payer network builds.
Commercially, TOG pursues a consultative enterprise sales motion targeting health insurance executives and network managers, with custom-quoted multi-year contracts. Revenue is generated primarily through professional services engagements (network build and credentialing) supplemented by recurring subscription revenue from ongoing analytics delivered through the Network Intelligence Platform. The company operates with a 1-10 employee count per firmographic disclosure, which constrains throughput relative to its enterprise-grade client roster. Distribution is exclusively direct enterprise sales domestically, supplemented by content marketing (blog, YouTube, LinkedIn, webinars), industry conference sponsorships (FAHP), and trade-body partnerships (ACAP Preferred Vendor designation in October 2025). Certifications include WBENC Women's Business Enterprise, NCQA CVO, and HIPAA/SOC 2-aligned information security policies.
TOG firmographics
Firmographics- Name
- TOG
- Legal name
- TOG, LLC
- Website
- https://tognetworksolutions.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- TOG Network Solutions is a US private professional services and technology firm that builds and manages provider networks for health insurance payers across commercial, Medicaid, Medicare, QHP, and military lines of business, using proprietary Provider Data Management and Network Intelligence platforms and a multi-payer enterprise client roster.
- Ownership category
- akta.pro rank
TOG industry classification
Industry- Product category
- Healthcare Provider Network Services
- NAICS
- Computer Systems Design and Related Services (5415), Computer Systems Design and Related Services (54151)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Integrated Systems Design (7373)
- akta.pro primary industry
- D-SNP Provider Network Management & Contracting (HLAEAFAG)
- akta.pro secondary industries
- Provider Network & Care Management for Commercial Members (HLAEAAAL), Managed Care / Network-Based Group Health Plans (Carrier Network Products) (FSAIAFAO), Provider Performance, Network Analytics & Attribution (HLACAHAF)
Keywords
Where TOG is headquartered
LocationHeadquarters
- HQ city
- Fernandina Beach
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
TOG business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Provider Network Building Services: TOG generates revenue by providing comprehensive provider network build services to health insurance payers. This includes network analysis, strategy development, provider recruiting, negotiating, and contracting. Services are tailored to build networks for various payer categories including commercial/self-funded, QHP/Exchange, Medicaid, Medicare, and military. The company also offers ongoing network optimization and management services.
- Credentialing Services: Revenue generated from NCQA CVO credentialing services, ensuring all network providers meet stringent credentialing standards through comprehensive, rigorous verification of qualifications and strict compliance with industry regulations.
- Network Intelligence & Analytics: Revenue from the proprietary Network Intelligence Platform providing ongoing monitoring, analysis, and strategic insights across the network operations lifecycle. Includes access & adequacy reporting and continuous network monitoring services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Custom enterprise pricing based on project scope |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels7 records
TOG product offering
Product offeringCore offering
TOG Network Solutions builds and manages healthcare provider networks on behalf of health insurance payers and managed care organizations, covering commercial/self-funded, QHP/Exchange, Medicaid, Medicare, and military health plans. Core offerings include provider identification, recruiting, negotiating, and contracting; NCQA CVO credentialing; network strategy and analysis; access and adequacy reporting; and two proprietary technology platforms (the Network Intelligence Platform and the Provider Data Management Platform) that support the full network operations lifecycle.
Product overview
TOG Network Solutions offers a unified portfolio of provider network build and management services for health insurance payers. At its core are two proprietary technology platforms: the Network Intelligence Platform, which unifies six dimensions of the network lifecycle (strategic positioning, cost & contracting, breadth & depth, access & availability, quality & performance, and member experience) to deliver ROI assurance; and the Provider Data Management Platform, a single-source CRM and data management system that integrates with claims, credentialing, and analytics systems to build and maintain efficient networks. These are supported by a suite of service modules including Network Strategy, Provider Recruiting & Contracting, Access & Adequacy Reporting, and NCQA CVO Credentialing. Together, the platforms and services span the full network operations lifecycle from initial build through ongoing optimization.
Differentiator
Problem solved
Functional benefit
Products and services
- TOG Network Intelligence Platform A proprietary platform that unifies six critical dimensions of the network lifecycle—strategic positioning, cost & contracting, breadth & depth of network, access & availability, quality & performance, and member experience & choice—to deliver actionable ROI assurance for health insurance payers. Available as a subscription/recurring engagement supporting ongoing monitoring, analysis, and strategic insights.
- Provider Data Management Platform A proprietary single-source Provider Data Management Platform that eliminates redundancies, increases transparency, and integrates with claims, credentialing, and analytics systems. Functions as a provider services CRM tool that helps health insurance payers build and maintain efficient provider networks.
- Provider Network Building & Strategy Services Comprehensive network analysis and strategy services for health insurance payers, including detailed provider and health system assessment, network adequacy measurement, ongoing monitoring throughout the project lifecycle, and on-time, on-budget network builds spanning commercial/self-funded, QHP/Exchange, Medicaid, Medicare, and military plan types.
- Provider Identification, Recruiting & Contracting Recruitment and contracting of hospital, physician, ancillary, and behavioral health providers across local, regional, and national markets, covering all network types including commercial/self-funded, QHP/Exchange, Medicaid, Medicare, and military. Leverages extensive established provider connections in every local market nationwide.
- NCQA CVO Credentialing Services Outsourced credentialing source verification process that ensures network providers meet NCQA accreditation standards, industry regulations, and legal requirements. Enables rapid credentialing and re-credentialing of network providers through comprehensive, rigorous verification of qualifications and strict regulatory compliance.
- Access & Adequacy Reporting Analytics and advanced reporting tools for targeted provider prospecting, focused contracting strategies, and ongoing network adequacy monitoring to ensure payer networks meet and exceed compliance standards such as CMS 90% adequacy requirements.
Quantifiable outcome
- Most health care plans recoup the cost of their network build within the first year of service operations
- +2 more outcomes
Companies that use TOG
Customer profileNamed customers30 records
Segments3 records
Ideal customer profiles2 records
TOG technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
TOG partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and minor.
- Association for Community Affiliated Plans (ACAP)coreTOG co-hosted a webinar with ACAP titled 'Network Intelligence: Unlocking Predictable Profitability in Safety Net Health Plans' presented by Eric Olofson, President of TOG Network Solutions. The webinar explored how leading health care plans transform networks into strategic financial assets.
- Florida Association of Health Plans (FAHP)minorTOG Network Solutions announced sponsorship of the Networking and Benefit Reception at the FAHP annual conference taking place November 12-14. This marketing partnership connects TOG with Florida health plan leaders.
- Association for Community Affiliated Plans (ACAP)coreTOG Network Solutions was selected as a Preferred Vendor by ACAP, the Association for Community Affiliated Plans. This designation directly benefits ACAP's member plans—mission-driven health plans that serve nearly 40 million Americans. The partnership enables TOG to provide network intelligence services to ACAP's network of safety net health plans.
- Advent HealthminorMajor health system contracted as part of CareSource Kansas D-SNP network build covering 47 Kansas counties.
- AscensionminorMajor health system contracted as part of CareSource Kansas D-SNP network build covering 47 Kansas counties.
- Kansas UniversityminorMajor health system contracted as part of CareSource Kansas D-SNP network build covering 47 Kansas counties.
Scale indicators7 records
Recent moves6 records
Expansion highlights4 records
TOG competitors and assessment
Company assessmentMarket position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks5 records
Key highlights7 records
Customer concentration
TOG social profiles
Digital presenceTOG compliance and trust
Trust signalCompliance3 records
TOG financial estimates
Financial estimateRevenue estimate
Valuation estimate
TOG leadership team
Management profileNumber of profiles
Profiles2 records
TOG funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
TOG 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 TOG
What does TOG do?
TOG Network Solutions builds and manages healthcare provider networks on behalf of health insurance payers and managed care organizations, covering commercial/self-funded, QHP/Exchange, Medicaid, Medicare, and military health plans. Core offerings include provider identification, recruiting, negotiating, and contracting; NCQA CVO credentialing; network strategy and analysis; access and adequacy reporting; and two proprietary technology platforms (the Network Intelligence Platform and the Provider Data Management Platform) that support the full network operations lifecycle.
Is TOG a public or private company?
TOG is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was TOG founded?
TOG was founded in 2013. It employs 1 to 10 people.
Where is TOG based?
TOG is headquartered in Fernandina Beach, United States, in the North America region.
How does TOG make money?
Three revenue lines are on record. Provider Network Building Services are the primary driver. The others are credentialing Services and network Intelligence & Analytics.
Does TOG have an API?
No public API is recorded for TOG.
What industry is TOG in?
TOG's product category is Healthcare Provider Network Services. Its primary akta.pro industry code is HLAEAFAG, D-SNP Provider Network Management & Contracting, with a secondary code of HLAEAAAL, Provider Network & Care Management for Commercial Members. Its NAICS code is 5415 and its SIC code is 7370.