# Audiology software that carries a fitting from the first audiogram to the end of the trial

> Audiology hearing aid dispensing is the licensed work of testing hearing, selecting and fitting a hearing aid, and standing behind that fitting through the trial period and the follow up. FDA created a separate over the counter category in 21 CFR 800.30 for adults 18 and older with perceived mild to moderate hearing loss, capped at an output of 111 dB SPL, 117 dB SPL where input controlled compression is active, and designed to sit at least 10 millimeters from the eardrum. Neurobird holds the audiogram, the order and the trial clock on one patient record.

- URL: https://neurobird.com/audiologyhearing/
- Product: Neurobird Audiology Hearing Aid Dispensing Compliance Platform
- Niche: audiology hearing aid dispensing
- Buyer: audiology and hearing aid practices
- Status: in development, open for early access
- Updated: 2026-08-21

## What Neurobird Audiology Hearing Aid Dispensing does

- Run the trial clock from the fitting date, per patient, with the return deadline visible before it passes
- Hold serial numbers, ear, manufacturer and warranty against the fitting rather than in a separate ledger
- Track repairs, remakes and credits back to the order they came from
- Keep the audiogram and the verification with the aid that was actually dispensed

## How it works

1. **Test and recommend** The audiogram and the recommendation attach to the patient, so the reason for a given aid is still readable a year later.
2. **Order and fit** The order carries serial numbers by ear, the manufacturer and the warranty term, and the fitting date starts the trial clock automatically.
3. **Follow up and settle** Repairs, remakes, credits and returns all point back at the fitting, so the commercial history of a patient is one list.

## From the source material

> An air-conduction hearing aid is a hearing aid that conducts sound to the ear through the air.

Source: eCFR, 21 CFR 800.30, over the counter hearing aids, https://www.law.cornell.edu/cfr/text/21/800.30

## Industry context

- **28.8 million** United States adults who could benefit from using hearing aids, on NIDCD calculations from national survey data. (source: NIDCD, quick statistics about hearing, https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing)
- **30%** Among adults aged 70 and older with hearing loss who could benefit from hearing aids, fewer than 1 in 3 have ever used them. Among adults aged 20 to 69 it is about 16 percent. (source: NIDCD, quick statistics about hearing, https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing)
- **111 dB SPL** An over the counter hearing aid may not exceed an output of 111 dB SPL at any frequency, or 117 dB SPL where input controlled compression is activated. (source: eCFR, 21 CFR 800.30(d), https://www.law.cornell.edu/cfr/text/21/800.30)
- **10 millimeters** The design of an over the counter hearing aid must limit insertion so the deepest component is reasonably expected to stay at least 10 millimeters from the tympanic membrane. (source: eCFR, 21 CFR 800.30(e), https://www.law.cornell.edu/cfr/text/21/800.30)
- **18 years** The over the counter category is for people aged 18 or older with perceived mild to moderate hearing impairment, and sale to anyone younger is prohibited. (source: eCFR, 21 CFR 800.30(a), https://www.law.cornell.edu/cfr/text/21/800.30)

## Pricing

- Solo clinician: $119 per month
- Practice: $299 per month
- Group: $649 per month

## Questions

### What is an over the counter hearing aid?

It is an air conduction hearing aid, defined in 21 CFR 800.30, that needs no implantation or surgery and is intended for people aged 18 or older with perceived mild to moderate hearing impairment. Output is capped at 111 dB SPL, or 117 dB SPL with input controlled compression, and the design must keep the deepest part at least 10 millimeters from the eardrum.

### Does this replace our practice management system?

No. It sits beside it. Scheduling and claims stay where they are. This holds the fitting: the audiogram behind it, the serials by ear, the trial clock and every repair or credit that follows.

### How does it handle the trial period?

The clock starts at the fitting date and the deadline is visible on the patient record from that moment, so a return conversation happens before the date rather than after it.

### Can it track repairs and remakes?

Yes, against the fitting they belong to, with the manufacturer, the date sent, the date back and the credit if there was one, so the commercial history of a patient reads as one list.

### Does it work for a practice that also sells OTC devices?

Yes. The record distinguishes a prescription fitting from an over the counter sale, because the two carry different obligations and you should not have to remember which is which.

## Sources

- [eCFR, 21 CFR 800.30, over the counter hearing aids](https://www.law.cornell.edu/cfr/text/21/800.30)
- [eCFR, 21 CFR 801.422, hearing aid labelling](https://www.law.cornell.edu/cfr/text/21/801.422)
- [NIDCD, quick statistics about hearing](https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing)
- [California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board](https://www.speechandhearing.ca.gov/)

## Contact

- office@neurobird.com
- https://neurobird.com/