Maintain Network Compliance and Instantly Detect Fraud, Waste, & Abuse

Eliminate human error in manual federal and state exclusion checks through automated, always-accurate provider data.
ProviderTrust platform finding a match for an excluded Provider

We Catch and Verify Exclusions No One Else Can

Leverage enriched data to reduce risk and quickly identify fraud
Our enriched primary source data enables instant verifications for Par and Non-Par networks using limited provider data. With 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,, 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.
windows showing different populations being monitored
Healthcare provider shown as compliant through custom reporting and alert history

Ensure Compliance in a Shifting Regulatory Environment

Receive ongoing alerts to provider non-compliance
Ongoing alerts to provider non-compliance with government LOBs are delivered into existing workflows.
Fines and penalties create a devastating effect on your organization
Civil fines and penalties can be assessed by the OIG with more than $20,000 per each item claimed or services provided. Avoid fines and penalties altogether through more comprehensive monitoring.

Consolidate and Centralize Exclusion Monitoring

The new standard in compliance intelligence
Consolidated processes across your provider network, workforce, and vendor populations reduce spend and provide readily-available reporting for CMS, URAC, NCQA, and internal audits.
Connect your system of record via seamless and secure integrations
We’ve designed our provider network monitoring to deliver fully verified eligibility alerts weeks (or months) before any other solution. Get your provider insights in your system of record through our seamless and secure API integrations.
Healthcare providers proved compliant
"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.'"

Liza Morris

Provider Operations Manager

Data Accuracy and Integrity Built to Scale

Explore our monitoring and verification solutions, specially designed with Compliance and Payers in mind.
ProviderTrust's platform for provider network monitoring

Provider Network Monitoring

We deliver healthcare’s most comprehensive compliance intelligence platform for provider eligibility and continuous compliance.
Provider's exclusion status shown as clear, cross checked by different primary sources

OIG Exclusion List Monitoring

We deliver healthcare’s most trusted ongoing OIG LEIE,, and state Medicaid exclusion list monitoring.

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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Related Resources

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