How We Serve Payer Organizations

ProviderTrust delivers industry-leading data to ensure ongoing eligibility throughout a provider’s entire lifecycle. Our NCQA-certified solutions ensure compliance and drastically reduce the time it takes to credential your provider network so you can save time and money while prioritizing patient safety.
windows showing different populations being monitored

A Better Way to Verify Eligibility

Simplified credentialing

Ease the burden of credentialing and re-credentialing your provider network with our NCQA-certified solutions for ongoing primary source verification.

Operational efficiency

Automate complex processes, eliminate human error, and shorten the credentialing process with a single source of truth that’s easily accessible within your workflows.

Risk reduction

Protect yourself from potential false claims with ongoing monitoring powered by the most accurate data in the industry.

illustration of windows for network monitoring, network information, and license verification all connected

Our Payer Use Cases


Optimize your credentialing and re-credentialing workflows by leveraging the industry’s highest standards in provider data intelligence.
Healthcare provider shown as compliant through custom reporting and alert history

Payer Compliance

Eliminate human error in manual federal and state exclusion checks through automated, industry-leading provider data.
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Payment Integrity

Proactively stop payments to bad actors before they head out your door.

Provider Operations

Ensure every provider meets credential and eligibility requirements for your government LOBs by ensuring automated data accuracy, completeness, and integrity.

Elevate your credentialing standards.

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