Provider Network of America
Provider Network of America is a private, direct-contracted national PPO network offering Medicare-based repricing and credentialing services to self-funded employers, TPAs, insurance carriers, and other payers across all 50 states.
- Company typePrivate
- Founded2017
- HeadquartersTempe, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
What Provider Network of America does
Provider Network of America (PNOA) is a privately held, direct-contracted Preferred Provider Organization (PPO) network headquartered in Tempe, Arizona, operating as an Arizona LLC. The company maintains a presence in all 50 states, with a contracted network of 2,500+ hospitals, 25,000+ ancillary facilities, and over 1,000,000 professional providers. PNOA distinguishes itself from competitors by contracting directly with providers rather than using leased or rented network contracts, and by applying Medicare-based reimbursement rates to specific procedures as a transparent pricing methodology. Its core technology is an in-house, proprietary claims repricing and payment system that supports flexible repricing solutions, including electronic claim submissions and automated administrative tools.
PNOA generates revenue primarily through subscription/recurring network access fees, licensing its provider network to payer clients on a custom-negotiated basis. Its go-to-market is sales-led and targets six distinct segments: self-funded employers, Third Party Administrators (TPAs), insurance carriers, Taft-Hartley Trust plans, Native American Tribes, and cost containment companies. Beyond network access, the company offers credentialing and contracting services for providers, as well as repricing solutions that streamline claims administration for payers and brokers. Distribution is multi-channel, combining direct enterprise sales, a self-serve provider enrollment portal, and a member-facing provider search tool.
The company is privately held with no disclosed parent, institutional investors, or funding rounds. PNOA reports 51-100 employees, no public revenue or ARR figures, and no AI/ML capabilities are described. The primary problems addressed are high healthcare costs, lack of network access and pricing transparency, balance-billing exposure, and administrative burden for providers and payers in the self-funded and managed care ecosystem.
Provider Network of America firmographics
Firmographics- Name
- Provider Network of America
- Legal name
- Provider Network of America, LLC
- Website
- https://pnoa-ppo.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Provider Network of America is a private, direct-contracted national PPO network offering Medicare-based repricing and credentialing services to self-funded employers, TPAs, insurance carriers, and other payers across all 50 states.
- Ownership category
- akta.pro rank
Where Provider Network of America is headquartered
LocationHeadquarters
- HQ city
- Tempe
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Provider Network of America business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Network Access Services: PNOA generates revenue by providing access to its contracted provider network. The company contracts directly with providers (not leased or rented) and offers Medicare-based pricing for transparency. Revenue comes from licensing network access to payers including self-funded employers, TPAs, insurance carriers, and other entities seeking cost containment solutions.
Go-to-market motion1 record
Distribution channels3 records
Marketing channels3 records
Provider Network of America product offering
Product offeringCore offering
Provider Network of America (PNOA) is a nationwide direct-contracted PPO provider network offering access to hospitals, ancillary facilities, and providers across all 50 states. The company delivers flexible repricing solutions and Medicare-based reimbursement tools used by clients for claims administration and payment processing. PNOA also supports enrollment, credentialing, and contracting for providers joining its network.
Product overview
Provider Network of America (PNOA) offers a unified healthcare network management platform consisting of a direct-contracted national PPO provider network complemented by flexible repricing solutions and Medicare-based reimbursement tools. The platform includes an in-house proprietary claims repricing system, automated claims administration tools, and provider credentialing/contracting services. PNOA's core offering is its nationwide provider network access (2,500+ hospitals, 25,000+ ancillary facilities, 1,000,000+ providers), which serves as the foundation for its cost containment and repricing solutions for payers including self-funded employers, TPAs, insurance carriers, and Taft-Hartley Trust plans.
Differentiator
Problem solved
Functional benefit
Products and services
- Provider Network (PPO Network)
Quantifiable outcome
- Lower costs for plans and members through direct provider contracting
Companies that use Provider Network of America
Customer profileSegments7 records
Ideal customer profiles7 records
Provider Network of America technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
Provider Network of America partnerships and signals
Strategic signalScale indicators4 records
Recent moves5 records
Expansion highlights4 records
Provider Network of America competitors and assessment
Company assessmentMarket position
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Provider Network of America financial estimates
Financial estimateRevenue estimate
Valuation estimate
Provider Network of America leadership team
Management profileNumber of profiles
Provider Network of America funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Provider Network of America 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 Provider Network of America
What does Provider Network of America do?
Provider Network of America (PNOA) is a nationwide direct-contracted PPO provider network offering access to hospitals, ancillary facilities, and providers across all 50 states. The company delivers flexible repricing solutions and Medicare-based reimbursement tools used by clients for claims administration and payment processing. PNOA also supports enrollment, credentialing, and contracting for providers joining its network.
Is Provider Network of America a public or private company?
Provider Network of America is a private company. It is classified as unknown and is currently operating.
When was Provider Network of America founded?
Provider Network of America was founded in 2017. It employs 51 to 100 people.
Where is Provider Network of America based?
Provider Network of America is headquartered in Tempe, United States, in the North America region.
How does Provider Network of America make money?
One revenue line is on record: network Access Services.
Does Provider Network of America have an API?
No public API is recorded for Provider Network of America.