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ENSURE CONTINUOUS PROVIDER ELIGIBILITY WITH SPEED AND ACCURACY

Enhance your credentialing workflows by leveraging the new standard in
compliance and provider intelligence, thoughtfully crafted to eliminate manual
checks and uphold network integrity.

Get Started
See our Payer Guide

View All Case Studies



> "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.'"

Liza Morris

Provider Operations Manager


NCQA-ACCREDITED PRIMARY SOURCE VERIFICATIONS DESIGNED FOR SCALE

Our compliance intelligence and monitoring goes beyond good enough. We monitor
and verify compliance issues directly at the primary source for all of your
providers.


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, and more. Customize those
requirements by network participation.



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.


REDUCE RISK THROUGH IMPROVED WORKFLOWS AND EFFICIENCIES

THE NEW STANDARD IN COMPLIANCE INTELLIGENCE

Innovated for the most actionable healthcare monitoring and verification
insights, our intelligence enriches both primary source data and our client’s
data records with unique identifiers to catch and verify exclusions no one else
can, alerting you to compliance issues you (or any of our competitors) would
never otherwise find.

CONNECT YOUR SYSTEM OF RECORD VIA SEAMLESS AND SECURE API INTEGRATIONS

We’ve designed our provider network monitoring to deliver fully verified
eligibility alerts weeks or even months before any other solution. Access your
provider insights in your system of record through our seamless and secure API
integrations.




THOUGHTFULLY CURATED FOR YOUR ORGANIZATION

One powerful monitoring and verification platform, designed with Credentialing
in mind.

PROVIDER NETWORK MONITORING

We deliver healthcare’s most comprehensive compliance intelligence platform for
provider eligibility and continuous compliance.
Learn More

LICENSE AND CREDENTIAL MONITORING

Our NCQA-accredited continuous license monitoring and primary source
verification ensures every provider is patient ready.

Learn More


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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RELATED RESOURCES

View All Resources
Guides

HEALTHCARE PAYER ECOSYSTEM GUIDE

Licenses and Credentials Payers Providers
August 10, 2022
Read More

Guides

AN INTERACTIVE GUIDE TO SELECTING A LICENSE MONITORING SOLUTION

Exclusions Licenses and Credentials Payers
January 01, 2022
Read More

Guides

THE IMPORTANCE OF TELEHEALTH CREDENTIALING IN A VIRTUAL WORLD

Human Resources Licenses and Credentials Telehealth
November 17, 2021
Read More
View All Resources


LET’S DO BETTER TOGETHER. SIMPLIFY YOUR HEALTHCARE COMPLIANCE.

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406 11th Avenue N., Suite 250
Nashville, TN 37203

615-938-7878
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 * Products
   * OIG Exclusion List
   * Licenses and Credentials
   * SSN Death Master File
   * State Board Actions
   * CMS Preclusion List
   * OFAC SDN List
   * State Abuse Registries
   * View All

 * Services
   * CVO Primary Source Verification
   * Job Specific Credential Management
   * FDR Medicare Compliance
   * Attestation Collection
   * Vendor Onboarding

 * Solutions
   * Employee Monitoring
   * Provider Network Monitoring
   * Vendor Monitoring
   * Referring and Ordering Physician Monitoring

 * Developers
   * API Integrations
   * API Docs

 * Applications
   * Passport
   * Dash
   * ExclusionCheck
   * VendorProof

 * About
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Platform
 * Products
 * Services
 * Solutions

Products
 * OIG Exclusion List
 * Licenses and Credentials
 * SSN Death Master File
 * State Board Actions
 * CMS Preclusion List
 * OFAC SDN List
 * View All

Services
 * CVO Primary Source Verification
 * Job Specific Credential Management
 * FDR Medicare Compliance
 * Attestation Collection
 * Vendor Onboarding

Solutions
 * Employee Monitoring
 * Provider Network Monitoring
 * Referring and Ordering Physician Monitoring
 * Vendor Monitoring

Use Cases
 * Providers
 * Payers

Providers
 * Human Resources
 * Procurement
 * Provider Compliance
 * Revenue Cycle
 * Virtual Care

Payers
 * Credentialing
 * Payer Compliance
 * Payment Integrity
 * Provider Operations
 * SIU
 * Value-Based Networks

Developers
 * API Integrations
 * API Docs

Resources
 * Blog
 * Case Studies
 * Checklists
 * Guides
 * Podcasts
 * Webinars
 * Exclusion Sources
 * NPI Lookup
 * View All Resources

Company
 * Our Company
 * Careers
 * Culture
 * Team

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