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.
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.
Our Payer Use Cases
Credentialing
Optimize your credentialing and re-credentialing workflows by leveraging the industry’s highest standards in provider data intelligence.
Payer Compliance
Eliminate human error in manual federal and state exclusion checks through automated, industry-leading provider data.
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.
Special Investigations Unit
Eradicate repeat offenders and speed up FWA investigations by leveraging real-time compliance intelligence, designed especially to capture full provider profiles that complement the needs of a modern Special Investigations Unit.
Value-Based Networks
Ensure your members are being cared for by the right practitioner at the right time by using one centralized monitoring solution to strengthen your provider networks.