Optimize the Efficiency of your Value-Based Network
Ensure your members are being cared for by the right practitioner at the right time, using data to strengthen your provider networks.
"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.'"
Break Down Silos Across your Entire Payer Ecosystem with Always-Accurate Data and Automated Processes
Manual data aggregation for credential verification slows your workflows and leaves room for human error. With one centralized, automated monitoring system, you can be confident your providers are compliant, and your value-based network is at peak efficiency.
Go Beyond Good Enough
Leverage enriched data to reduce risk and quickly identify fraud
There’s value in peace of mind. We enrich primary source data with unique identifiers to catch and verify issues no one else can. With more 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 OIG and Medicaid exclusion monitoring with license 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.
Ensure Compliance in a Shifting Regulatory Environment
Maintain an up-to-date directory of eligible providers
With continuous monitoring of eligibility requirements, your team can spot provider ineligibility among your network in real-time, providing critical insights for both your par and non-par provider directories.
Defend the integrity of your government LOBs
With monitoring that is both smarter and faster, you can catch exclusions and other issues hiding in your provider network–among par and non-par providers alike.
A Comprehensive Monitoring and Verification Infrastructure
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 for your credentialing teams.
Primary source credential verifications built to scale
Our NCQA-accredited continuous compliance monitoring and primary source verification ensure that every provider has the required credentials to serve your members.
Thoughtfully Curated for Your Organization
At ProviderTrust, our customizable monitoring platform was built with the integrity of your provider network in mind.
Provider Network Monitoring
We deliver healthcare’s most comprehensive compliance intelligence platform for provider eligibility and continuous compliance.
License and Credential Monitoring
Our NCQA-accredited continuous license monitoring and primary source verification ensures every provider is patient-ready.
Innovated for intelligence. Handcrafted for humans.
Data Security
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.
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