Always-Accurate Credential Verifications
Optimize your credentialing and re-credentialing workflows by leveraging the industry’s highest standards in provider data intelligence.
NCQA-CVO Certified Primary Source Credential Verification
Ensure speed and accuracy, even with limited data
There’s value in peace of mind. We enrich primary source data with unique identifiers to catch and verify issues no one else can. With more robust intelligence at your fingertips, your teams can meet and exceed audit and survey requirements with the click of a button.
Get complete intelligence on your provider networks
Combine our industry-leading instant license verifications with our OIG, SAM.gov, state Medicaid exclusion monitoring, NPI validation, DEA registration, CMS ordering and referring, Medicare Opt Out, Social Security Death Master File, and more. Customize those requirements by network participation.
Fully Automated Primary Source Verifications
Eliminate manual verification processes and human error
Ensure continuous accuracy of every par and non-par provider with ongoing monitoring that exceeds the industry’s re-credentialing standards.
Primary source verifications built to scale
Our automated primary source verification and ongoing monitoring ensure that every provider has the required credentials to properly serve your members.
Seamlessly Integrate into Existing Systems and Workflows via API
A secure API to unlock our provider data insights
Access the power and sophistication of ProviderTrust’s Compliance Intelligence™ via API, enabling real-time access to more than a decade of historical data and insights directly in your system of record.
Connect vital data to the workflows and moments you need most
Innovated for the most accurate credential verification and provider monitoring insights, our proprietary Compliance Intelligence™ combines primary source data with unique identifiers to catch and verify issues no one else can.
"In a short period of time, ProviderTrust’s guidance and expertise has simplified our day-to-day operations and improved our overall business, but more importantly, it’s allowed us to focus on achieving our mission ‘To Improve the Oral Health of All.'"
Data Accuracy and Integrity Built to Scale
Explore our monitoring and verification solutions, especially designed with Credentialing teams in mind.
CVO Primary Source Verification
We monitor and verify compliance issues directly at the primary source across the healthcare ecosystem.
License and Credential Verifications
Our NCQA-accredited automated primary source verifications and ongoing license and credential monitoring ensure that every provider has the required credentials to serve your patients.
Go beyond regulatory requirements with ease.
Data Security
Ensure SOC II and NCQA-certified security standards and controls.
Network Accuracy
Prioritize patient safety and access beyond initial credentialing.
Reporting and Documentation
Always be audit-ready with primary source documentation for every provider.
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