NovaNet
- Company typePrivate
- Founded1994
- HeadquartersNorcross, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
NovaNet firmographics
Firmographics- Name
- NovaNet
- Legal name
- Nova*N*et LLC
- Website
- https://novanetppo.com
- Company type
- Private
- Founded year
- 1994
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Ownership category
- akta.pro rank
NovaNet industry classification
Industry- Product category
- Healthcare PPO Network Services
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Multi-Specialty PPO Provider Networks (HLAEANAC)
- akta.pro secondary industries
- Regional & Local PPO Networks (HLAEANAB), Dental PPO Networks (HLAEANAE), Workers’ Compensation PPO Networks (HLAEANAH), Provider Network Administration & Contracting (PPO Network Management) (HLAEALAE)
Keywords
Where NovaNet is headquartered
LocationHeadquarters
- HQ city
- Norcross
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
NovaNet 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 Fees: Provider network access fees charged to insurance carriers, third-party administrators, and employer groups for access to NovaNet's contracted provider network for medical, dental, and workers' compensation coverage.
- PPO Network Services: Providing comprehensive PPO network coverage with creative collaboration with clients to deliver effective products and services for members.
Go-to-market motion2 records
Distribution channels3 records
Marketing channels3 records
NovaNet product offering
Product offeringCore offering
NovaNet is a preferred provider organization (PPO) that contracts with physicians, hospitals, and ancillary facilities and then leases access to those provider networks to insurance carriers, third-party administrators, and self-funded employer groups. The company operates three core network products: a Group Health PPO Network, a Dental PPO Network (with a Dental Wrap add-on), and a Workers' Compensation Network, all delivered across Alabama, Florida, Georgia, and Tennessee.
Product overview
NovaNet is a Preferred Provider Organization (PPO) that operates three interconnected network products: a Group Health PPO Network for medical coverage, a Dental PPO Network for dental services (including a Dental Wrap add-on), and a Workers' Compensation Network for workplace injury coverage. The company is not owned by physicians, hospitals, or insurance carriers, which enables it to collaborate creatively with clients to deliver customized managed care solutions. All networks are available across Alabama, Florida, Georgia, and Tennessee.
Differentiator
Problem solved
Functional benefit
Products and services
- Group Health PPO Network Preferred Provider Organization (PPO) network providing contracted access to medical providers for insurance carriers, third-party administrators, and self-funded employer groups; spans 500+ hospitals, 11K+ ancillary facility locations, and 200K+ physician locations across Alabama, Florida, Georgia, and Tennessee.
- Dental PPO Network Contracted dental provider network offered to insurance carriers and employer groups, made available through partner platforms including Aetna Dental Administrators, DENTEMAX, and GEHA Connection Dental across the southeastern US network footprint.
- Workers' Compensation Network Workers' compensation provider network spanning 290+ hospitals, 10K+ ancillary facility locations, and 75K+ physician locations across Alabama, Florida, Georgia, and Tennessee, providing coverage for workplace injuries and related care for employer groups and claims administrators.
- Dental Wrap Supplemental dental coverage product that wraps around an existing dental benefits plan to extend access to NovaNet's contracted dental provider network, accessible through the dedicated novanetdental.com portal.
Quantifiable outcome
- 30 years of operation in healthcare network management since 1994
- +1 more outcomes
Companies that use NovaNet
Customer profileNamed customers3 records
Segments5 records
Ideal customer profiles2 records
NovaNet technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
NovaNet partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core.
- Aetna Dental DivisioncoreExpanded relationship with Aetna through an agreement with their Dental Division in 2004, allowing NovaNet to diversify its value-added services to clients. This partnership launched NovaNet's dental business and enabled the company to offer dental network products alongside its medical PPO networks.
- Aetna Dental AdministratorscoreAetna Dental Administrators partnered with NovaNet to provide dental provider lookup services. NovaNet's dental provider network is made available through Aetna's dental platform, allowing Aetna members to search for in-network dental providers through NovaNet's contracted network.
- DENTEMAXcoreDENTEMAX partnered with NovaNet to provide dental provider lookup services. NovaNet's dental provider network is accessible through DENTEMAX's dentist finder platform, expanding access to NovaNet's contracted dental providers.
- GEHA Connection DentalcoreGEHA Connection Dental partnered with NovaNet to provide dental provider access. NovaNet's dental provider network is made available to GEHA members through the GEHA Solutions dental resources portal.
Scale indicators4 records
Recent moves8 records
Expansion highlights5 records
NovaNet competitors and assessment
Company assessmentDirect peers
- First Health (CVS Health/Aetna): First Health operates a national PPO network used by Aetna and other payers/TPAs. It is the most direct competitor to NovaNet's Group Health and Workers' Compensation products, especially for self-funded employer groups needing multi-state coverage.
- MultiPlan: MultiPlan is the largest independent PPO network in the U.S., offering medical, dental, and workers' compensation networks. Like NovaNet, it is not owned by a payer and competes for the same insurance carrier, TPA, and self-funded employer clients across multi-state network contracts.
- Zelis: Zelis provides healthcare cost management including network leasing, claims editing, and PPO access through its Zelis Network Solutions business. It is comparable to NovaNet as an independent intermediary monetizing provider network access for payers and TPAs.
- Prime Health Services: Prime Health Services operates a national PPO and workers' compensation network serving payers, TPAs, and self-funded employers. It is closely comparable to NovaNet in offering PPO network access and workers' comp networks as core products.
- Three Rivers Provider Network: Three Rivers operates a national PPO and workers' compensation network, marketing to insurance carriers, employers, and TPAs. It competes head-to-head with NovaNet for the same regional and multi-state PPO contracts.
- HealthSmart: HealthSmart provides PPO network leasing, claims administration, and managed care services to insurers, TPAs, and self-funded employers. Its multi-network offering (including its own PPO) directly overlaps NovaNet's provider network access business.
- Stratose: Stratose provides PPO, workers' compensation, and auto PPO networks plus ancillary network services to payers, TPAs, and employers. It is a direct comparable to NovaNet in product mix and customer segments served.
Broad incumbents
- Aetna (CVS Health): Aetna is both an existing NovaNet channel partner (via Aetna Dental Administrators and Aetna Dental Division) and a competitor in commercial PPO markets. It is comparable as a broad incumbent offering PPO networks across medical and dental.
- Cigna Healthcare: Cigna operates a national PPO network used across its commercial and stop-loss businesses. It competes with NovaNet at the carrier/network layer, but does so as part of a much broader portfolio including global health services and pharmacy benefits.
- UnitedHealthcare (Optum): UnitedHealthcare/Optum operates the largest commercial PPO network in the U.S. and competes with NovaNet for self-funded employer and carrier network leasing relationships, though as a vertically integrated payer-provider rather than a standalone PPO.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
NovaNet social profiles
Digital presenceNovaNet financial estimates
Financial estimateRevenue estimate
Valuation estimate
NovaNet leadership team
Management profileNumber of profiles
Profiles10 records
NovaNet subsidiaries and ownership
Company hierarchySubsidiaries4 records
NovaNet funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
NovaNet 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 NovaNet
What does NovaNet do?
NovaNet is a preferred provider organization (PPO) that contracts with physicians, hospitals, and ancillary facilities and then leases access to those provider networks to insurance carriers, third-party administrators, and self-funded employer groups. The company operates three core network products: a Group Health PPO Network, a Dental PPO Network (with a Dental Wrap add-on), and a Workers' Compensation Network, all delivered across Alabama, Florida, Georgia, and Tennessee.
Is NovaNet a public or private company?
NovaNet is a private company. It is classified as unknown and is currently operating.
When was NovaNet founded?
NovaNet was founded in 1994. It employs 51 to 100 people.
Where is NovaNet based?
NovaNet is headquartered in Norcross, United States, in the North America region.
How does NovaNet make money?
Two revenue lines are on record. Network Access Fees are the primary driver. The others are PPO Network Services.
Who are NovaNet's main competitors?
Direct peers on record are First Health (CVS Health/Aetna), MultiPlan, Zelis, Prime Health Services, Three Rivers Provider Network, HealthSmart and Stratose. Broad incumbents are Aetna (CVS Health), Cigna Healthcare and UnitedHealthcare (Optum).
Does NovaNet have an API?
No public API is recorded for NovaNet.
What industry is NovaNet in?
NovaNet's product category is Healthcare PPO Network Services. Its primary akta.pro industry code is HLAEANAC, Multi-Specialty PPO Provider Networks, with a secondary code of HLAEANAB, Regional & Local PPO Networks. Its SIC code is 6324.