ProviderTrustProviderTrust delivers automated healthcare compliance monitoring solutions, helping organizations identify and manage provider eligibility, credentials, and exclusions. Founded in 2010 and based in Nashville, it serves top health systems and payers with the industry’s most accurate dataset for exclusion monitoring and license verification.
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ProviderTrust
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Comprehensive Vendor ComplianceComprehensive Vendor Compliance by ProviderTrust continuously monitors vendor entities, owners, and employees against federal and state exclusion lists. It automates data collection, verifies integrity, and ensures healthcare organizations maintain up-to-date, compliant vendor records to prevent fraud, waste, and abuse.
DynamicNPIDynamicNPI by ProviderTrust delivers real-time, verified provider data using NPI numbers. It connects disparate primary sources instantly, enabling fast credentialing, compliance, and operational decisions. The platform ensures accuracy, reduces risk, and integrates seamlessly into payer workflows via API.
Exclusion List MonitoringExclusion List Monitoring by ProviderTrust automates continuous screening of providers, vendors, and employees against federal and state exclusion lists. It enhances primary source data for unmatched accuracy, helping healthcare organizations prevent fraud, waste, and abuse while ensuring compliance and protecting patient safety.
Impact ComplianceImpact Compliance by ProviderTrust sets a new standard in healthcare compliance monitoring. It helps organizations go beyond regulatory requirements by addressing data gaps in exclusion monitoring, license verification, and vendor compliance to reduce fraud, waste, and abuse while promoting patient safety and healthcare equity.
License & Credential VerificationLicense & Credential Verification by ProviderTrust automates primary source checks across all healthcare disciplines in all 50 states. It delivers 95% of results within two days, ensures audit readiness, and maintains data integrity to prevent eligibility gaps and support patient safety.
Provider CredentialingProvider Credentialing by ProviderTrust automates primary source verifications for payers, reducing turnaround times by 97%. It integrates into existing workflows, delivers results in under two days, and ensures audit-ready compliance with HITRUST and NCQA certifications.
Provider Network ComplianceProvider Network Compliance by ProviderTrust delivers automated, continuous monitoring of provider eligibility using verified data sources. It eliminates compliance risk, streamlines credentialing, and ensures audit readiness across healthcare organizations with exact-match results and NCQA-certified automation.
Provider Network OperationsProviderTrust’s Provider Network Operations solution offers real-time, verified provider eligibility data for payers. It enables automated credentialing, exclusion monitoring, and license verification, ensuring only qualified providers serve members. The platform enhances compliance, reduces risk, and improves operational efficiency across healthcare networks through continuous monitoring and data integrity.