Eliminate Fraud, Waste and Abuse by Quickly Connecting the Dots
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 SIU.
"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.'"
Speed Up Your Investigations through Automated, Always Accurate Intelligence
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
Traditional methods of claims recovery can quickly escalate the cost of the claim. Our intelligent primary source data monitoring helps payment integrity teams spot potential FWA faster and deliver the documentation and evidence you need for further investigations.
Thoughtfully Curated for Your Organization
Provider Network Monitoring
Innovated for intelligence. Handcrafted for humans.
Ensure SOC II and NCQA-certified security standards and controls.
Primary Source Verification
Verify every license and credential for all providers directly at the primary source.
Reporting and Documentation
Always be audit-ready with primary source documentation for every provider.