Continuous Monitoring to Ensure Network Integrity

Unlock the industry’s most accurate network eligibility data to connect the dots between departments and gain ongoing visibility into your provider network.
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The Industry’s Most Definitive Results

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People & Entities Monitored Ongoing
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Exclusions Discovered by ProviderTrust
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Credential Verifications Performed Annually

Clear, Automated Oversight of Your Provider Network’s Eligibility

Our HITRUST- and NCQA-certified solution bridges the gaps within your organization, giving you real-time visibility into current eligibility data for your entire provider network. Access the data you need in as little as half a second, and then ensure unparalleled accuracy with continuous monitoring that alerts you to adverse events, such as exclusions, suspensions, etc., or when provider eligibility status changes.

Our best-in-class data feeds your workflows, breaking down siloes between departments and ensuring data integrity organization-wide.

Why ProviderTrust:

Best-in-Class Data for Total Network Integrity

Current eligibility data that flows seamlessly through your organization
Designed to promote connectivity, our data-driven solution gets your entire organization on the same page. Feed our timely, accurate data into your platform of choice with an API, and watch the synchronization begin.
All the data you need—no more, no less
ProviderTrust solutions are designed to provide you with only relevant data, cutting out unnecessary noise that drains time and resources. You’ll get alerts for meaningful changes, but you won’t have to sort through a mountain of notifications to get to what really matters.
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Continuous Coverage at Your Fingertips

Full-scale provider eligibility monitoring for peace of mind
Protect your provider network integrity with ongoing license and credential verification, plus monthly exclusion monitoring. We’ll never miss a primary source update, so neither will you.
NCQA-certified monitoring to meet heightened regulatory standards
Built to simplify and speed up provider verification and monitoring processes, our solution has the flexibility to incorporate continuous monitoring for adverse events. This proactive approach to provider network data provides full visibility of provider eligibility throughout the entire provider lifecycle.

Make a Lasting, Organization-Wide Impact

Cover each department’s needs with a single solution
Data powers your entire organization, from initial credentialing to provider directory management. Out data flows seamlessly throughout your organization, ensuring that each department has the most accurate and current eligibility information available.
Better data feeds a better member experience
Set your provider data workflow up for success with the most accurate provider eligibility data available. We won’t bother you when there’s no change, but when a provider becomes ineligible, you’ll be the first to know with automated alerts.
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Meet DynamicNPI™

Access Verified, Connected Primary Source Data with Just an NPI

DynamicNPI is the payer industry’s most comprehensive source of verified provider data, connecting disparate primary source information directly to NPI numbers.

  • Meet credentialing and recredentialing verification requirements in mere seconds
  • Speed up time to credential, expediting the path to revenue
  • 24/7 access to up-to-date, verified information
  • Hands-off NCQA-certified automation you can trust
  • Delivered directly within your workflow of choice with ProviderTrust’s turnkey API
"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

Data Integrity Built to Scale

Explore our provider data solutions, especially designed for Operations teams.
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Provider Network Compliance

Eliminate compliance risk across your organization with a solution fueled by data that’s even better than the primary source.
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Credentialing

Speed up turnaround times by 97% and ensure the accuracy of your results with ProviderTrust’s HITRUST- and NCQA-certified primary source verifications.

Related Resources

Ensure organization-wide network eligibility alignment.

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