ProviderTrust Earns 3-Year NCQA Credentialing Certification

ProviderTrust, Inc. has officially been awarded a full 3-year NCQA Credentialing Certification by the Review Oversight Committee of the National Committee for Quality Assurance (NCQA).

Effective September 8, 2026, through September 8, 2029, this milestone represents the gold standard in healthcare compliance and validates our commitment to delivering accurate, automated, and audit-ready provider data verification.

Full NCQA Certification Across All 9 Credentialing Categories

NCQA Certification is a rigorous evaluation that analyzes an organization’s administrative and clinical verification processes against the industry’s highest standards. ProviderTrust achieved certified status across all nine evaluation products:

• Board Certification Status
• DEA or CDS Certification
• Education and Training
• License to Practice
• Malpractice Claims History
• Medicare/Medicaid Sanctions
• Ongoing Monitoring
• State Licensing Board Sanctions
• Work History

Earning certification in every single category gives payers, health systems, and credentialing teams complete confidence that our verification technology and operational workflows meet and exceed NCQA’s strict guidelines.

Shaping the Future of Credentialing Standards

Beyond awarding our 3-year certification, NCQA highlighted our active partnership in advancing the broader healthcare compliance landscape:

“We appreciate your organization’s engagement with NCQA in conversations regarding modernizing our credentialing standards and will be considering updates to the requirements to account for automated processes in the future.”

Traditional credentialing was built for periodic, point-in-time checks. Today’s healthcare environment demands real-time visibility. ProviderTrust is proud to collaborate with industry leaders such as NCQA to shape future standards that accommodate automated, continuous monitoring, ensuring patient safety while eliminating unnecessary administrative burden.

What This Certification Means for Our Partners

When you partner with ProviderTrust, you gain an NCQA-certified compliance foundation backed by industry-leading automation. This certification enables our partners to:

• Streamline Delegation: Confidently delegate primary source verification (PSV) processes knowing our operations meet rigorous NCQA benchmarks.
• Enhance Continuous Care Quality: Pair NCQA-certified workflows with our automated daily monitoring across state licenses, sanctions, and exclusions.
• Reduce Administrative Burden: Replace manual verification workflows with intelligent automation, freeing your internal teams to focus on provider relations and care delivery.

Achieving a full 3-year NCQA certification across all nine evaluation products – alongside our HITRUST CSF certification and SOC 2 Type II compliance – is a testament to our team’s dedication and our clients’ trust. As we look toward the future of healthcare compliance, ProviderTrust remains dedicated to innovating, automating, and setting the standard for provider network integrity.