Full Profile Monitoring of Your Provider Network
We deliver healthcare’s most comprehensive compliance intelligence platform for provider eligibility and continuous compliance, automatically connecting the dots of every provider in your network.
Proactive Eligibility Monitoring Starts with Data Integrity
Our approach to eligibility monitoring delivers one source of truth on your providers, offering centralized and always-accurate data insights about the people and entities in your networks.
Say Goodbye to Stop Gaps and Paper Trails
Stop ineligible claims and reduce fraud, waste, and abuse
Reduce administrative complexity across teams
A Fully Automated and Customizable Solution
Even better than the primary source
41% of the exclusions we find in provider networks are discovered via our monitoring intelligence. Our best-in-class exclusion monitoring screens your providers against every state and federal source every single day, ensuring we catch every exclusion as quickly as possible.
All healthcare disciplines, all 50 states
SSN Death Master File
Ongoing, automated SSN DMF monitoring
Ongoing, automated OFAC monitoring
CVO Primary Source Verification
NCQA-certified primary source verification controls
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.'"