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Ongoing Monitoring Keeps Provider Credentialing Accurate
Credentialing doesn’t end once a provider is verified. ProviderTrust’s continuous monitoring in provider credentialing tracks license expirations, certifications, and eligibility status in real time so your organization stays current between credentialing cycles, not just at the start of one.
license and credential verifications performed annually
of primary source verifications delivered within 2 days
license and credential types monitored
OVERVIEW
After a provider’s initial verification, ongoing monitoring tracks changes to their license status, board certifications, sanctions, exclusions, and other credentialing data as they happen, rather than waiting for the next scheduled recredentialing cycle to catch them. Your team is only alerted when something changes in a way that’s meaningful to that provider’s eligibility.
Today, ProviderTrust monitors more than 14 million individuals and entities this way, updating that picture continuously rather than on a fixed cycle.
WHY IT MATTERS
The landscape of provider eligibility is fluid, with license expirations, new sanctions, and credentialing updates occurring frequently between periodic reviews. This gap between verification events is set to widen, as NCQA’s updated standards now call for verification windows of just 60 days — far more frequent than the standard two- to three-year recredentialing cycle most organizations currently employ.
For credentialing and compliance teams, continuous monitoring means fewer surprises and a stronger, more defensible record that your organization is actively managing provider eligibility, not just checking on it periodically.
COMMON CHALLENGES
Traditional credentialing relies on periodic reviews, which can leave gaps between checks. That often looks like:
Ongoing monitoring closes those gaps by running continuously in the background, so nothing waits for the next scheduled review.
HOW WE HELP
ProviderTrust’s continuous monitoring provides NCQA-certified, ongoing visibility into your provider network. Automation handles day-to-day tracking, and your team is only alerted when a provider’s eligibility status changes in a meaningful way, with no manual intervention required unless something is flagged.
Continuous monitoring helps you with:
Client Testimonials
“Our data is so much better than it was. We’re more confident in our screenings. We are able to act more quickly. We’re more efficient.”
“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.”
“With ProviderTrust, we’ve reduced so much manual work that it has freed up time for our team to focus on additional compliance initiatives that, historically, we just didn’t have enough resources to address. We didn’t have to add staff to get the compliance oversight we always needed.”
“Before we met ProviderTrust, we did everything manually and we worked closely with our Human Resources department and Credentialing but the main thing is we didn’t have a centralized process or system where we can just gather all our information and all get the same information at the same time and that was really a big challenge.”
“Not only has ProviderTrust saved us countless hours of unnecessary work and delivered peace of mind that no exclusions will be missed, but their solution is also the most polished one that we work with.”
“Prior to ProviderTrust, we were manually tracking all of our primary source verification for hospital staff. It’s definitely taken a load off of our team. ProviderTrust has helped a lot with uncovering discrepancies in our data as well as building a process for the long term that can be used to avoid those data discrepancies.”
FREQUENTLY ASKED QUESTIONS
Continuous monitoring is the ongoing process of tracking a provider’s licenses, certifications, and eligibility status for changes after their initial verification, helping organizations stay current and compliant between formal credentialing cycles.
Re-credentialing occurs at set intervals, often every two to three years, while continuous monitoring tracks changes in real time, reducing gaps between scheduled reviews.
It can identify updates to licenses, board certifications, sanctions, exclusions, expirations, and other credentialing data that may affect a provider’s eligibility status.
ProviderTrust’s continuous monitoring checks for changes on an ongoing basis and alerts your team as soon as a meaningful change is identified, rather than waiting for a scheduled review.
It helps reduce compliance risk, improve data accuracy, and support a more proactive approach to credentialing, rather than discovering a problem only after the next recredentialing cycle. Last year, that proactive approach helped ProviderTrust surface 7,222 exclusions across the networks we monitor.
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