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Blog

The CMS Preclusion Blind Spot: How One Bad Provider Can Hide Behind a Dozen Good Numbers

Medicare has a list of providers who should never get paid again. An OIG audit found the government’s own system keeps losing track of who […]

News

Credentialing Becomes a Decision, Not a Project

ProviderTrust Combines DataSpring’s Attested Profiles with Continuously Verified Data for 4+ Million Providers All it takes is an NPI. Provider data is verified at the […]

Blog

When “Excluded” Doesn’t Mean Gone: Exclusion Evasion in a $4.75M Medicare Case

Exclusion from Medicare and Medicaid is meant to be a hard stop — no billing federal programs, no working in a billing-connected role, and no […]

Events

See ProviderTrust at NAMSS 2026, Oct. 18-21

Blog

ProviderTrust Earns 3-Year NCQA Credentialing Certification

Blog

The Industry Keeps Announcing “The First” Shared Credentialing Program

By Christopher Redhage, Co-Founder and Managing Partner, ProviderTrust The industry loves throwing this launch party. This is the second one in about thirteen months with […]

Research Reports

Provider Network Integrity: A Data Intelligence Report

Provider directories matter because members rely on them. When a health plan member searches for an in-network doctor, they’re trusting that the listing is current, […]

Case Studies

How Highmark Found Undetected Healthcare Exclusions in Month One

Healthcare exclusion monitoring is not a back-office formality, especially for Highmark, one of the largest Blue Cross Blue Shield licensees in the country. It is […]

Blog

Highlights from the OIG Spring 2026 Semiannual Report to Congress

The U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) has released its Spring 2026 Semiannual Report to Congress, summarizing its oversight […]