License & Credential Verification

ProviderTrust’s License & Credential Verification solution automates primary source checks across all healthcare disciplines in all 50 states. It delivers 95% of results within two days, ensuring audit readiness and preventing eligibility gaps. With NCQA-certified workflows and real-time alerts, it supports compliance, operational efficiency, and patient safety.

Features

• Automated primary source verifications for licenses and credentials
• Coverage for all healthcare disciplines across all 50 states
• Verification of compact licenses, DEA registrations, and board certifications
• 95% of verifications delivered within two days
• Up-to-daily email alerts for expirations and mismatches
• Audit-ready reporting with primary source screenshots
• NCQA-certified verification processes

Capabilities

• Delivers verified results directly into systems of record via API or SFTP
• Supports credentialing, recredentialing, and ongoing monitoring
• Identifies and resolves mismatches with dedicated data oversight
• Scales across provider networks, employees, and vendors
• Maintains data integrity and regulatory compliance

Benefits

• Reduces credentialing turnaround time and administrative burden
• Ensures audit readiness and regulatory compliance
• Improves data accuracy and operational transparency
• Protects patient safety by preventing eligibility lapses
• Frees internal resources for strategic initiatives