Healthcare Networks of America

What Healthcare Networks of America does

Healthcare Networks of America is a Phoenix, Arizona-based private LLC that operates a national provider network and offers credentialing and payer-contracting services to physicians and healthcare facilities. The company functions as an intermediary that aggregates contracts with a claimed 4,600+ health plan payers and gives participating providers access to those contracts, with the stated benefit of reimbursements at 70-85% of billed charges. Its claimed reach covers all 50 states, ~22 million patients, and ~30 million employees and family members.

The product is essentially a membership-based access layer: providers and facilities pay recurring annual dues (stated at $145 per provider per year and $275 per facility per year) in exchange for credentialing into the network and access to payer contracts that individual practices would have difficulty assembling on their own. There is no disclosed proprietary technology platform, no AI/ML component, no integrations mentioned, and no public management team or operational milestones.

The business model is a high-volume, low-ARPU subscription/membership model aimed at a long tail of small private practices and independent facilities. Reported operating scale is very small (1-10 employees) and the company has not disclosed funding, partnerships, acquisitions, or revenue. The public web presence shows signs of compromise (spam/casino content), which is a material diligence flag regarding operational health and the verifiability of stated metrics.

Name

Healthcare Networks of America

Legal name

Healthcare Networks of America

Website

https://hna-net.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

1–10 employees

Short description

Healthcare Networks of America is a Phoenix-based LLC that runs a national provider network, offering credentialing and payer-contracting access to physicians and facilities for annual membership dues of $145 per provider and $275 per facility.

Ownership category

akta.pro rank

Product category

Healthcare Provider Network 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

Payer & HTA Engagement (Reimbursement/Submissions) (HLAIAKAD)

Keywords

• Physician credentialing services
• Healthcare provider network
• Contract negotiation services
• Payer reimbursement programs
• Value-based care contracting

Headquarters

HQ city

Phoenix

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Facility Network Participation Fees: Healthcare facilities pay an annual network participation fee of $275 for credentialing and access to HNA's contracted payer network. The fee covers marketing and contracting programs, credentialing completion notifications, and monthly updates on new payer contracts.
2. Provider Credentialing Fees: Individual healthcare providers pay a $145 annual credentialing fee for network membership, which includes participation in marketing and contracting programs with national and local employers and third-party payers.
3. Payer Contract Negotiations: HNA negotiates contracts on behalf of providers with health plan payers, enabling providers to receive 70-85% of billed charges - the highest reimbursement rates in the industry. Revenue is derived from the value created through superior reimbursement rates and value-based care contracting opportunities.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

Healthcare Networks of America (HNA) is a national provider network that enrolls and credentials physicians (MD, DO, DC, DPM) and licensed healthcare facilities, and negotiates fee-for-service contracts with health plan payers on their behalf. Through its network of 4,600+ health plan payers, HNA secures reimbursement rates of 70-85% of billed charges—the highest in the industry—while also positioning providers for value-based care contracting opportunities.

Product overview

Healthcare Networks of America (HNA) operates as a national provider network dedicated to preserving private practice medicine. The company functions as a unified platform offering physician and facility credentialing services, contract negotiation with health plans, and access to fee-for-service reimbursement contracts. The core offering comprises the provider network platform supported by enrollment modules for both individual providers and healthcare facilities, enabling doctors to access contracts offering 70-85% reimbursement rates.

Differentiator

Problem solved

Functional benefit

Products and services

• Provider Network Services
• Provider Enrollment and Credentialing
• Facility Enrollment and Credentialing

Quantifiable outcome

• Providers receive 70-85% of billed charges
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators5 records

Recent moves1 record

Emerging players

• agilon health: agilon health partners with independent primary care physicians to enter value-based care arrangements. It overlaps with HNA's value-based care positioning for private practice providers.
• Aperture Health: Aperture Health operates value-based care and provider enablement networks for independent physicians, overlapping with HNA's stated strategy of equipping practices for risk-sharing contracts.

Direct peers

• Galaxy Health Network: Galaxy Health Network is a smaller, regionally distributed PPO provider network that signs up physicians and ancillary providers for payer access. Like HNA, it markets negotiated rate access and credentialing to independent providers.
• Zelis: Zelis provides healthcare cost management, network access and payment integrity services to payers and providers. Its network and contracting business competes directly with HNA for payer-contracted provider access.
• America's PPO: America's PPO is a national provider network offering credentialing and payer contracting to physicians and facilities, closely mirroring HNA's enrollment and contracting model.
• MultiPlan: MultiPlan operates one of the largest independent PPO and ancillary provider networks in the US, directly comparable to HNA's payer-contracted provider network model. Both compete to give providers access to negotiated payer rates across large national footprints.
• HealthSmart: HealthSmart operates a national PPO and preferred provider network serving payers, employers and providers. Its breadth of payer contracts and credentialing services overlap directly with HNA's offering.

Broad incumbents

• UnitedHealth Group / Optum: Through Optum, UnitedHealth owns large provider networks, contracting platforms, and value-based care infrastructure. It is a broad incumbent whose payer contracts and provider access dwarf standalone networks like HNA.
• Cigna / Evernorth: Cigna (and its Evernorth health services arm) operates massive provider networks and negotiates reimbursement rates directly. HNA competes by offering an independent alternative where Cigna itself is the payer network.
• Elevance Health / Carelon: Elevance Health's Carelon services include network management, credentialing, and value-based contracting capabilities. It is a broad incumbent in the same credentialing/payer-engagement space that HNA serves.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xx.com/hna_net
• Facebookfacebook.com/Healthcare-Networks-of-America-288330419600
• LinkedInlinkedin.com/company/healthcare-networks-of-america

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 Healthcare Networks of America