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Real-Time Verified Results for Provider Credentials
Every day a provider waits for credential verification is a day they’re not seeing patients. ProviderTrust delivers real-time healthcare credential verification directly from primary sources, so your team can confirm provider qualifications in seconds, not weeks.
license and credential verifications performed annually
of primary source verifications delivered within 2 days
license and credential types monitored
OVERVIEW
Healthcare credential verification confirms the details that matter most for provider eligibility: state licensure, DEA and CDS registrations, board certifications, NPI validation, work and education history, COI, and status on OIG, SAM, and state Medicaid exclusion lists. Rather than gathering that information from a resume or a candidate’s own account, ProviderTrust pulls it directly from primary sources and returns a verified profile in under half a second.
WHY IT MATTERS
A delay in credential verification isn’t just an administrative bottleneck. It’s a delay in a provider’s ability to see patients and a delay in your organization’s time to bill. That pressure is only building: NCQA guidelines are calling for shorter verification windows, as tight as 60 days, leaving little margin for slow, manual processes.
For credentialing, provider enrollment, billing, and network operations teams, faster verification means providers move into practice sooner, without cutting corners on accuracy. The impact is measurable: automating initial credentialing verification has been shown to cut turnaround times by up to 97%, replacing 60-plus day cycles with results delivered in days, not months.
COMMON CHALLENGES
Even organized credentialing teams run into friction when verification depends on checking sources one at a time. That often looks like:
To solve these problems, credentialing teams need verification built to run as a single, connected process rather than a dozen separate checks.
HOW WE HELP
With just an NPI, ProviderTrust returns a fully verified provider profile in under half a second, drawing directly from primary sources across all 50 states, more than 650 individual state licensing boards, and every healthcare discipline. Today, that network covers more than 7,000 license and credential types nationwide. Once a provider is verified, that same profile can move directly into ongoing monitoring, so your team never has to start the process over from scratch.
What we verify (*can be verified and delivered by ProviderTrust with additional data elements):
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
Credential verification is the process of confirming a healthcare provider’s qualifications, such as licenses, education, and certifications, directly with the primary source to ensure they meet required standards.
It helps ensure patient safety, supports regulatory and accreditation compliance, and confirms that only qualified providers are delivering care.
When connected directly to primary sources through an automated process, an individual credential can be verified in under half a second per lookup. That same infrastructure powers ProviderTrust’s broader license and credential verification solution, which processes more than 180 million verifications a year, with 95% of results delivered within two days.
Sources typically include state licensing boards, the DEA, the American Board of Medical Specialties, the NPPES NPI registry, and federal and state exclusion and sanction lists.
ProviderTrust provides real-time access to accurate credentialing data sourced directly from primary sources, helping teams reduce delays, improve accuracy, and simplify verification workflows.
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