Get better intelligence about your provider networks.
Ensure every provider meets credential and eligibility requirements for your government LOBs.
So much more than just OIG Exclusions.
Get better intelligence into your provider networks. Combine our industry-leading OIG and Medicaid exclusions with license monitoring, NPI validation, DEA registration, CMS ordering and referring, Medicare Opt Out, Social Security Death Master, and more. Customize these requirements by network participation.
Get instant insight and long-term confidence.
Say goodbye to manual investigations and verifications. Screen one or more providers for exclusion, license, NPI issues (and more) and then add them to your ongoing monitoring population. With instant insight and audit-ready historical reporting, you can be confident that your providers are properly credentialed and have peace of mind without ever having to look up a license board.
Reduce compliance risk and identify fraud faster through enriched data.
We enrich both primary source data with identifiers to catch and verify issues no one else can, alerting you to issues within your provider network that you would never otherwise find. Meet audit and survey requirements with the click of a button.
Deliver actionable provider network intelligence across your organization.
Improve critical processes and break down data silos. Smarter, always-accurate provider network data that’s easily accessible through our software, or your system of record. Our flexible integrations empower your teams to make more informed decisions, faster.
The speed at which ProviderTrust’s automated monitoring catches and verifies exclusions is a huge value, saving us the time and cost of manual verification and overpayment recovery later.
The Provider Network Monitoring Solution Guide
It’s time to rethink some of the old processes for managing provider networks. Find out what’s included in holistic provider network monitoring and how it can make your job easier.
Say hello to Dash.
Rely on our smarter data to fill in the gaps and complete your provider records.
Resources to help Provider Operations teams grow & succeed.
PECOS: What You Need to Know
PECOS plays a critical role in facilitating communication and data accuracy between providers and CMS. It powers several datasets indicating providers' statuses and standing with CMS.
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The Interoperability Rule and Effects on Provider Network Data
The Interoperability Rule, currently slated to go into effect in 2021, impacts provider network data for health plans in addition to significant implications for patient health data requirements.
