Audionet America

What Audionet America does

AudioNet America (doing business as AudioNet) is a Sterling Heights, Michigan-based, independently owned hearing benefits administrator that has operated a managed-care TPA model since its 2007 launch. The company administers hearing benefit programs for Medicare Advantage plans, state Medicaid programs, employer groups, unions, and third-party administrators, and supports an agent/consultant channel that resells its programs. Across these channels it insures more than one million lives and grew from approximately 100,000 members at launch to that scale inside roughly twelve years.

The platform is built around pre-negotiated fixed fee schedules that guarantee no balance billing to members, layered onto a HIPAA-compliant adjudication system that handles 834 eligibility, 837 claim, and 835 remittance EDI transactions, eligibility and provider network management, and utilization reporting. The provider ecosystem comprises over 5,000 general provider locations nationwide, a differentiated Audiologist-Only Network of 4,000+ audiologists across 7,000+ credentialed sites, and pre-negotiated pricing with 14 hearing aid manufacturers including the top six brands (Phonak, Starkey, ReSound, Signia, Widex, Oticon). Members access benefits through a self-serve portal at portal.audionetamerica.com and providers manage claims through a separate provider portal.

AudioNet generates revenue on a quote-based, multi-year contract model, billed as managed-care administration and TPA services to health plans, employers, unions, governments and TPAs, and marketed through direct enterprise sales, an inside-sales phone line, and an agent/consultant channel. The company claims average client claim savings exceeding 40% and out-of-network charges under 1% as the primary value proposition that sells against retail-discount hearing programs. The 51-100 employee operation is led by an executive team averaging 35 years of healthcare experience, with no disclosed institutional investors or parent company.

Name

Audionet America

Legal name

AudioNet America

Website

https://audionetamerica.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

51–100 employees

Short description

AudioNet America is an independently owned, Sterling Heights-based hearing benefits administrator that runs a managed-care TPA platform serving Medicare Advantage, Medicaid, employer, union, and third-party administrator clients, covering over one million lives through a nationwide provider and audiologist network.

Ownership category

akta.pro rank

Product category

Hearing Benefits Administration

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134)

SIC

Services-Health Services (8000)

akta.pro primary industry

Audiology & Hearing Services (ENT-Affiliated) (HLAKAMAI)

akta.pro secondary industry

Dental & Vision Third-Party Administration (TPA) (FSAIAHAL)

Keywords

• Hearing benefits administration
• Managed care services
• Third-party administration
• Hearing aid provider network
• Healthcare benefits TPA

Headquarters

HQ city

Clinton Township

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain

Revenue model

1. Managed Care Administration Fees: AudioNet generates revenue through managed care administration services, providing hearing benefit programs to health plans, employers, unions, and TPAs. Revenue is derived from managing hearing benefits with pre-negotiated pricing structures and fixed fee schedules. Their model saves clients an average of 40% on claim costs, suggesting they operate on administrative fees or percentage-based savings arrangements.
2. Third-Party Administrator Services: As a licensed TPA (Third-Party Administrator), AudioNet provides hearing benefit administration services including eligibility management, claims processing, provider network management, and utilization reporting. Revenue likely includes per-member-per-month (PMPM) fees or per-claim administrative fees.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels4 records

Core offering

Audionet America is a hearing benefits administrator that runs managed care hearing benefit programs for Medicare Advantage plans, Medicaid programs, employer groups, unions, and third-party administrators (TPAs). Its core offering combines a nationwide provider network of over 5,000 locations (including an Audiologist-only network of 4,000+ audiologists), pre-negotiated fixed fee schedules with 14 hearing device manufacturers, HIPAA-compliant electronic claims adjudication (834, 835, 837 EDI), and licensed TPA services delivered with no balance billing to members.

Product overview

AudioNet America offers a unified hearing benefits administration platform built on a managed care model. The core offering consists of a National Hearing Benefit Program that combines provider network access (over 5,000 providers, including a specialized Audiologist Only Network with 4,000+ audiologists at 7,000+ locations), Licensed TPA services, a HIPAA Compliant Adjudication System for electronic claims processing (834, 835, 837), and Digital Hearing Devices from the top 6 manufacturers. All components are integrated under a pre-negotiated pricing structure with no balance billing and average claim savings exceeding 40%.

Differentiator

Problem solved

Functional benefit

Products and services

• Managed Care Hearing Benefit Program A managed care model for hearing benefits featuring pre-negotiated pricing structure, fixed fee schedules, no balance billing policy, and coverage for Medicare Advantage, Medicaid, Employer Groups, Unions, and TPAs.
• Provider Network Access Network of over 5,000 providers/locations including Audiologists, ENTs, Hearing Instrumental Specialists, and Dispensers, providing medical oversight and accountability for member services.
• Audiologist Only Network Specialized network comprised of over 4,000 Audiologists at over 7,000 credentialed Audiologist/ENT locations with enhanced medical oversight for hearing care.
• Licensed TPA (Third-Party Administrator) Services Third-Party Administrator services providing hearing benefit program administration including claims processing, eligibility management, and provider network management for health plans, employers, unions, and other TPAs.
• Digital Hearing Devices Program State of the art digital hearing devices from top manufacturers including Phonak, Starkey, ReSound, Signia, Widex, and Oticon, with pre-negotiated nationwide pricing established with 14 manufacturers.

Quantifiable outcome

• Average claim savings of over 40% compared to traditional hearing benefit plans
• +3 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Sedgwick: Sedgwick is a large, well-capitalized TPA serving employers and payors across multiple benefit lines; it represents the type of incumbent that could expand into specialized hearing benefit administration, competing with AudioNet for health plan and employer RFPs.
• Connect Hearing: Connect Hearing (part of Sonova) operates retail hearing clinics within a national provider network that supplies audiology services to hearing benefit programs; it overlaps with AudioNet's provider network and could expand into administration.
• Amplifon: Amplifon is a global hearing care incumbent that combines retail hearing aid distribution, provider networks, and benefits administration; its managed care division competes head-to-head with AudioNet for health plan and employer hearing benefit contracts.
• UnitedHealthcare Hearing: UnitedHealthcare Hearing is the in-house hearing benefits administrator of a major national payor, offering hearing aid coverage to Medicare Advantage and commercial members — a broad-incumbent peer leveraging parent payor scale.

Regional players

• HearUSA: HearUSA is a hearing care provider and benefit manager serving health plans and consumers, with overlapping managed care capabilities to AudioNet but more retail/provider orientation; relevant for network and benefit design benchmarking.

Others

• Starkey Hearing Technologies: Starkey is one of the top six hearing aid manufacturers that AudioNet has pre-negotiated pricing with; it is an ecosystem participant/partner whose commercial terms directly shape AudioNet's value proposition to plans and members.
• Phonak (Sonova): Phonak, part of Sonova, is another top-six hearing aid manufacturer in AudioNet's pre-negotiated network — a key supply-side counterpart whose pricing and product roadmap influence AudioNet's cost-savings narrative.

Direct peers

• TruHearing: TruHearing is a leading hearing benefits administrator that negotiates discounted hearing aids and care through contracted provider networks for health plans, Medicare Advantage, and employer groups — directly analogous to AudioNet's managed care hearing benefits model.
• EPIC Hearing Healthcare: EPIC provides managed hearing benefit programs to health plans, employers, and government programs via a national provider network with negotiated device pricing — a near-direct competitor in the hearing benefits TPA space.

Emerging players

• NationsBenefits: NationsBenefits administers supplemental benefits including hearing for Medicare Advantage plans via contracted networks, overlapping with AudioNet's MA-focused service line and competing for similar plan sponsor contracts.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/AudioNetAmerica
• LinkedInlinkedin.com/company/audionet-america

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

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 Audionet America