Our Mission is to Create a Safer Healthcare for All

We Believe Everyone Deserves a Safe Healthcare Experience

And setting new standards for compliance intelligence can lead the way. We believe deeply in a healthcare system that is equitable, accessible, affordable, and free of fraud for Americans of all ages, races, income levels, or preexisting conditions. We come to work every day to push healthcare toward that reality by building a better intelligent healthcare monitoring system, helping providers and payers identify eligibility, compliance, and credential issues within their populations. With superior insight into employees, provider networks, and downstream vendors, our flexible solutions help healthcare companies scale with confidence, ensure compliance, and protect revenue.

ProviderTrust's Story

Michael Rosen and Chris Redhage founded ProviderTrust in 2010 with a vision to simplify healthcare compliance. Today, the organization has developed the industry’s most accurate dataset for ongoing exclusion monitoring and primary source verification, serving the nation’s top health systems, payers, and pharmacy organizations. Our solutions monitor employees, vendors, provider networks, licenses, credentials, and more for OIG and state Medicaid exclusions, sanctions or disciplinary actions, license expirations, or suspensions. With a team of 100+ employees, our Nashville-based company has consistently been recognized as one of the Best Places to Work by Modern Healthcare, Inc. Magazine, and The Tennessean Top Work Places.

What Makes ProviderTrust Different?

Our Compliance Intelligence

We enrich primary source data for always-accurate compliance intelligence. From the beginning, we set out to do healthcare monitoring better than anyone else. Our proprietary technology is innovated for the most actionable healthcare monitoring and verification insights. We leverage a unique combination of machine-driven algorithms and human governance to ensure eligibility across every population we monitor.

Explore the Interactive Guide to Data Enrichment

Exact-Match Results

We guarantee exact-match results via automation and real, human verifiers. We analyze and interpret thousands of primary sources across every state and healthcare discipline to verify and resolve every potential issue. Our intelligence catches and verifies issues no one else can.

Our Workflow Designs

We serve the entirety of the healthcare ecosystem through population-specific workflow design. Our innovative technology was handcrafted especially for humans, providing actionable intelligence when and where you need it most, connecting the systems that power your organization.

We Measure Success by the Patients We Protect

Patient Advocacy

We work to speak with and for the patients we protect – those most likely to be impacted by fraud in healthcare. We host events, partner with speakers, and educate our clients on how what we do is inextricably linked to healthcare equity.

Education & Amplification

We continually seek to share the stories of patients as a core part of our message and brand to educate our clients and audiences. We also strive to educate patients directly to educate on how to ask the right questions before going to the doctor or a specialist based on the data we collect.

Security

Protecting our clients and keeping their data safe and secure is our top priority. We invest deeply in ensuring our security standards are best-in-class and are proud to be certified SOC II compliant, NCQA, and HITRUST for our processes and practices in the ways we manage, store, and interact with client data. Your organization and data are safe with us.