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.
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
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
Claims recovery efforts are costly
"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
Provider Network Monitoring
Go beyond regulatory requirements with ease.
Ensure SOC II and NCQA-certified security standards and controls.
Reporting and Documentation
Always be audit-ready with primary source documentation for every provider.