Eliminate Fraud, Waste and Abuse with Provider Intelligence

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. 

A group of providers with their monitoring status marked as clear.

Provider Intelligence to Power Your Investigations

Instant compliance intelligence on every provider with only an NPI

Know the full profile of every par and non-par provider instantly with only an NPI, creating simplicity from complexity and saving your team valuable time. 

Maintain an up-to-date directory of par and non-par providers
Set business rules based on claims thresholds and workflow design to better define and manage your par and non-par populations, all in one monitoring platform.
Woman's provider profile depicting her status as clear, double-checked against state records from Texas
Providertrust platform showing alert history and custom reporting capabilities

Automated Intelligence with Human Governance

Ongoing, continuous compliance monitoring

From the moment we turn on monitoring, we continuously screen your provider networks to ensure we reduce your risk. Say goodbye to manual searches and point-in-time checks.

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. Access your provider insights in your system of record through our seamless and secure API integrations.

Reduce Overpayment and Wasteful Spending

Overpaying claims and trying to recoup later is inefficient
Between $68 and $226 billion is lost annually to Fraud, Waste and Abuse (FWA). With provider network monitoring that is both continuous and always accurate, you can spot claims from ineligible providers before they are paid.
Claims recovery efforts are costly
Traditional methods of claims recovery can quickly escalate the cost of the claim. Our primary source data monitoring and matching algorithms help payment integrity teams spot potential FWA faster and support your SIU teams with the documentation they need to build their cases.
SIU employees paying compliant employees
"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, especially designed with SIU teams 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.

API Integrations

Healthcare’s most powerful APIs and integrations for instant compliance verifications across your workflows.

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.

Play Video about implementing providertrust into your organization

Related Resources

Elevate your SIU standards.

Never miss an update

Get the latest healthcare news, advice from industry experts, and all things related to monitoring solutions delivered straight to your inbox.