AudiCoverage Pro · hearing-benefit revenue intelligence for independent practices

Turn every hearing-benefit conversation into practice intelligence.

Understand the benefit. Guide the conversation. Track the outcome. Then see what those outcomes mean for your revenue, your network participation and your local market.

Know the plan → Track the outcome → See the opportunity

See how it works

No credit card · No implementation · Set up your county in minutes

Plan intelligenceNetwork participationConversation workflowsRecorded outcomesRevenue-pathway analyticsLocal market intelligence
From plan signal to practice intelligence1 / 3
Plan the patient named
Medica Advantage Solution (PPO)H8889 · 001 · plan year 2026
Hearing benefit administrator
EPIC Hearing
The first answer
Know how the benefit routes and what needs verification before the appointment type or conversation is chosen.

Benefit data is sourced from plan filings and Summary of Benefits documents; verify current terms with the plan or administrator.

01The real problem

Knowing who administers the benefit is the first answer, not the whole job.

An experienced practice may already know that a carrier often routes hearing benefits through TruHearing, EPIC, NationsHearing or another administrator. That knowledge helps — but it does not tell you whether participating in that network matters strategically in your county, what happened with the patient, whether the opportunity stayed with the practice, or what the pattern means across a month of calls.

Signal
What does this plan report?

Benefit structure, administrator, prior authorization position, source and the items that still need verification.

Outcome
What happened next?

Verification, pathway, callback, network route, private care, served outcome or another recorded resolution.

Pattern
What does it mean for the practice?

Which plans appear, where opportunities leave, how concentrated each network is locally, what your team closes and how your participation compares with the market around you.

We already know which plans use TruHearing.

Good — then the first lookup should feel familiar. AudiCoverage Pro earns its keep after that: it gives staff a consistent pathway, keeps the episode from disappearing into memory, and turns closed conversations into an owner-level view of revenue pathways, market opportunity and the networks that may deserve a participation review.

02The compounding workflow

From one patient conversation to a practice intelligence system.

The daily workflow is deliberately simple. The strategic value appears because the same structure is repeated every time the phone rings.

01
Find the planStart with the exact plan the patient names.
02
Resolve the pathwayBenefit, routing, evidence and what to verify next.
03
Work the conversationGive staff a repeatable path and a resumable record.
04
Record the outcomeKeep what actually happened, not a projected result.
05
Add market + network contextEnrollment concentration, routing, participation status, changes and provider supply.
06
ActProtect revenue, gauge penetration, evaluate network participation and pursue opportunity.

Useful on the first call. More valuable after the hundredth.

The front desk uses AudiCoverage Pro to handle the patient in front of them. The owner uses the accumulated record to understand what the practice is seeing — and what it may be missing.

Which plans are actually producing conversations for us?Which pathways end with care at our practice?Where do benefit-driven opportunities repeatedly leave?Which high-enrollment plans barely appear in our activity?Are we outside a network that carries a meaningful share of our local market?
03How it works, one conversation at a time

One patient, from the phone call to the market pattern it becomes.

Playing automatically. Click any step to take over.

Edit market inputs

Tell us the county your practice serves and the hearing networks you participate in. That is the whole setup.

State
Minnesota
County *
Hennepin (27053)

Your county is what unlocks the routing view.

Networks your practice participates in
TruHearingUHC HearingNationsHearingEPIC Hearing

Leave blank if you don't participate with any of these — the view will show them as not-contracted across the board.

Save market viewCancel
01

Setup is one field: your county

Everything starts here, and it takes about thirty seconds. Name the county your practice serves and, optionally, the networks you participate in. Nothing to install, nothing to connect to your practice management system, and no data to migrate.

1 / 9
04From outcomes to revenue intelligence

Every closed conversation becomes evidence about your business.

Knowing who administers the benefit answers one question. A structured history of what your team saw, did and closed starts answering the questions that determine whether an independent practice is protecting revenue and penetrating the opportunity around it.

Observed in your practice

What actually happened

  • Conversation volume by plan and pathway
  • Verification and callback activity
  • Served, private-care, network-routed and other outcomes
  • Open and unresolved conversations
Market denominator

What exists around you

  • Local Medicare Advantage enrollment by plan
  • Administrator and network concentration by local enrollment
  • Plan growth, decline, discontinuation and replacement
  • Your network participation status and maintenance dates
  • Provider density and Medicare-eligible population
Decision layer

Where to focus next

  • Plans that look underrepresented in practice activity
  • Revenue pathways that warrant a closer look
  • Network-participation gaps worth investigating
  • Markets that may deserve expansion diligence
Gauge practice penetration:are the plans carrying large local enrollment actually showing up in your conversations?
Secure revenue:which pathways consistently end outside the practice, and which ones remain unresolved?
Evaluate network participation:is a network carrying meaningful local enrollment while your practice remains out of network — and do your recorded outcomes justify a closer participation review?
Find opportunity:where is local enrollment growing faster than your observed activity?
Grow with context:does a neighboring county or acquisition market look more attractive once plan mix and provider supply are considered?

AudiCoverage Pro keeps observed practice outcomes separate from modeled economics and public market context. It is designed to help gauge opportunity — not to claim that public enrollment data equals your practice's true market share.

05Built for the whole practice

The user gets a workflow. The owner gets an operating view.

AudiCoverage Pro is useful because the people doing the work and the person responsible for the business are looking at the same episode from different angles.

Front desk
Know what to do next.

Find the plan, see the pathway, verify what matters and resume a conversation without starting over.

Audiologist / HIS
Walk in with context.

Understand the benefit pathway before the clinical and financial conversation begins.

Practice manager
Keep work visible.

See open callbacks, completed conversations, recurring workflow gaps and the evidence behind each route.

Owner
See what it adds up to.

Connect patient-level outcomes with plan-level market opportunity, network concentration, participation decisions, revenue pathways and growth decisions.

06Data depth + source discipline

Every answer on the screen is only as credible as the data underneath it.

AudiCoverage Pro is not built on a small manually maintained lookup table. It layers plan filings and benefit documents with federal enrollment, crosswalk, provider-registry and population data, then overlays the practice's own network-participation settings and network-maintenance dates. That makes the answer on the screen traceable to both the external market evidence and the practice context needed to act on it.

Current data snapshotPlan & market counts shown below
through Jul 2026 where applicable
6,913
Medicare Advantage plans2026 MA plans in the AudiCoverage Pro dataset, each with a resolved hearing-benefit record; 4,850 report a hearing-aid benefit.
2,921
ACA Marketplace plansReporting a hearing-aid benefit, of 4,202 canonical Marketplace plans reviewed.
3,236
countiesWith monthly Medicare Advantage enrollment by contract, plan and county.
15months
of enrollment historyMay 2025 through Jul 2026 in the current dataset snapshot, reloaded as CMS publishes.
8,071
plan crosswalk recordsCY2025 → CY2026, supporting discontinued-plan and replacement analysis.
64,226
NPPES provider locationsFederal registry used for aggregate provider counts and density context.
CMS Monthly Enrollment by Contract/Plan/State/CountyCMS State/County MA PenetrationCMS plan filingsPlan Summary of Benefits documentsCMS CY2025–CY2026 Plan CrosswalkNPPESACS 2020–2024 5-year estimatesPractice-supplied network participation & approval dates

Universe and limitations matter. Standalone Part D contracts are excluded from the Medicare Advantage universe; suppressed small-cell enrollment is not counted. Public provider registries reflect registered locations, not verified active caseload. Network participation and last-approval dates are practice-supplied unless otherwise stated. AudiCoverage Pro carries these limitations into the methodology rather than hiding them.

01 · REPORTED
Facts stay tied to a source and date.

Benefit figures, enrollment and plan status are presented with the source context used to resolve them.

02 · INFERRED
Inference is labeled as inference.

If AudiCoverage Pro derives routing or another conclusion from available evidence, it is not presented as a plan guarantee.

03 · UNKNOWN
Missing data stays missing.

When a filing does not establish an administrator, authorization rule or benefit detail, that gap is shown rather than filled in with a guess.

At the practicePatient name + date of birth can stay on the local computer and practice-held record.
STAYS LOCAL →
In AudiCoverage ProReference code · plan · workflow stage · status · recorded outcome.

Designed around minimum-necessary data practices. AudiCoverage Pro is decision support, not a coverage or payment guarantee; benefit terms should be verified with the plan or administrator before quoting them to a patient.

07The market layer

Your practice activity needs a denominator.

Forty conversations from a plan can be a lot or almost nothing depending on whether that plan carries hundreds or tens of thousands of members around you. AudiCoverage Pro places what your team records beside the local plan, enrollment, routing and provider context needed to interpret it.

01Gauge opportunity

See which high-enrollment plans and administrator pathways are — or are not — appearing in your practice activity.

02Evaluate network participation

See when a heavily concentrated administrator or network carries meaningful local enrollment while your practice is outside it — then weigh it against your own outcomes and economics. Joining is one answer; staying out and offering a private-care comparison is another.

03Protect revenue

Surface recurring pathways where patients leave, stall or require a different workflow before the pattern becomes invisible.

04Grow deliberately

Use longitudinal market context to support second-location, market-comparison and acquisition diligence.

This is an opportunity and penetration gauge, not a claim of exact market share. AudiCoverage Pro can see the public market denominator and the activity your practice records; it cannot see every patient served by every competitor.

3%a network carrying 3% of your local market
deserves a different
conversation than
35%one carrying 35% of it
Network participation is market intelligence stacked on your own numbers.Concentration tells you which networks matter. It cannot tell you whether participating is worth it — a network carrying 35% of your county might earn a contract, or your own recorded outcomes might show those conversations ending well as private care. Either answer can be right for a given practice; the mistake is deciding without your own numbers. Already participating? Then every recorded outcome sharpens the read on what each contract is actually worth — evidence for renewal, renegotiation, or a different payer mix — and the longer the record runs, the better the read. Recredentialing and maintenance dates are tracked alongside, but they are the bookkeeping, not the decision.
Decision signal
Market concentration
Your status
Practice evidence
Owner action
Network / administrator
How many local MA members sit in plans routed here?
Participating, out of network, unknown
Conversation volume + recorded outcomes
Participate, renegotiate, or stay out — decided with evidence
Network maintenance
Is the network strategically material locally?
Participation last verified · re-attestation dates
Are lapses creating avoidable friction?
Surface lapses before they create friction
Lane A
Participate

Serve those members in-network at contracted terms. The record then shows what the contract is worth in practice — evidence for renewal or renegotiation.

Lane B
Stay out

Offer the network path and a private-care comparison side by side, and let the patient choose. The record then shows how those conversations actually end.

Two rational outcomes of the same analysis. AudiCoverage Pro doesn't pick one — it keeps the evidence that lets you.
AudiCoverage Pro does not assume that joining a network is always the right answer. The point is to make the decision with local enrollment concentration, participation status, observed patient outcomes and practice economics visible at the same time.

The same federal market data behind AudiCoverage Pro's free county Market Intelligence Report powers this layer in Pro. The report shows the outside market. AudiCoverage Pro connects that market to what your own team is seeing and recording over time — including whether your current network participation matches where local membership is concentrated.

08Simple pricing

Start free for 45 days. Decide after you've used it on real patients.

No seats, no per-lookup billing and no usage tiers. Start with the plans your team already knows, then judge it by whether the workflow and the accumulated history are useful.

45 days free

No credit card to start. Use the full workflow long enough to see real conversations close and begin building your own practice history.

Founding practice
$99a month

Locked for 24 months.

Standard
$149a month

Standard monthly rate after the founding cohort closes.

  • Plan, benefit and administrator intelligence
  • Conversation pathways, queue and recorded outcomes
  • Practice-level revenue-pathway analytics
  • County market intelligence, network concentration and Monthly Revenue Brief
  • No per-seat or per-lookup charge
Use your own economics
$
One private-pay case at that number pays for 2.5 years of AudiCoverage Pro at the founding rate.

Arithmetic only. Your number is used to contextualize subscription cost — not to claim AudiCoverage Pro will generate a specific number of cases.

Try it before you trust it.

Look up three plans your team already knows cold. Then run real conversations through the workflow. The first test is whether the plan intelligence is credible. The second is whether keeping the outcome gives your practice a view it did not have before.

See the demo again
09Start with what you already know

Start with three plans you know. Stay for what the pattern reveals.

Set up your county. Check the plans your staff already understands. Work the next real conversations. Then decide whether AudiCoverage Pro gives your practice a clearer way to protect revenue, evaluate network participation, gauge opportunity and understand the market around it.

First callKnow how the benefit routes and what to do next.
First monthSee what your team actually handled and where outcomes landed.
Over timeBuild a practice-specific history against the changing local market.
Review the methodology

No credit card · No implementation · Cancel from the dashboard

AudiCoverage Pro is educational decision support. Benefit information should be verified with the plan or administrator before coverage, eligibility or payment is represented to a patient. Market and practice analytics distinguish observed outcomes, modeled values and public-data context.