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 * Solutions
   
   * ONE POWERFUL PLATFORM
     
     One monitoring platform, thoughtfully designed for every population.
   
   * * Populations
     * Employee Monitoring
     * Provider Network Monitoring
     * Referring and Ordering Physician Monitoring
     * Vendor Monitoring
   * * Products
     * OIG Exclusion List
     * License and Credential Verification
     * SSN Death Master File
     * CMS Preclusion List
     * OFAC SDN List
     * National Practitioner Data Bank (NPDB)
     * View All
   * * Services
     * CVO Primary Source Verification
     * Job Specific Credential Management
     * FDR Medicare Compliance
     * Attestation Collection
     * Vendor Onboarding
 * Providers
   
   * PROVIDER ORGANIZATIONS
     
     A secure, trusted platform designed to monitor and verify compliance and
     credential issues across all healthcare workforces and physician networks,
     driving operational efficiencies and aligning workflows.
   
   * * Provider Use Cases
     * Human Resources
     * Procurement
     * Provider Compliance
     * Revenue Cycle
     * Virtual Care
   * Case Study
     ProviderTrust Helps DCI Scale Expanding Compliance Monitoring Needs
     Read More
   * Guide
     Exclusion List Monitoring Solution Guide
     Learn More
 * Payers
   
   * PAYER ORGANIZATIONS
     
     A centralized provider network monitoring platform designed to break down
     departmental silos and deliver actionable compliance and credential
     insights.
   
   * * Payer Use Cases
     * Credentialing
     * Payer Compliance
     * Payment Integrity
     * Provider Operations
     * Special Investigations Unit
     * Value-Based Networks
   * Guide
     Provider Network Monitoring Guide
     Learn More
   * Blog
     Provider Credentialing: What Payers Need to Know
     Read More
 * Resources
   
   * RESOURCES
     
     A library of resources and tools, thoughtfully curated for you.
     
     Resource Library
   * * Content
     * Blog
     * Case Studies
     * Guides
     * Podcasts
     * Press Releases
     * Webinars
   * * Tools
     * Exclusion Sources
     * NPI Lookup
   * BLOG
     OIG-LEIE, GSA-SAM, and State Medicaid Exclusion Lists: What’s the
     Difference?
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 * Company
   
   * ABOUT PROVIDERTRUST
     
     Get to know our company and learn about our partnership program.
   
   * * About Us
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   * TESTIMONIAL
     What Our Clients Are Saying About ProviderTrust
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MAINTAIN NETWORK COMPLIANCE AND INSTANTLY DETECT FRAUD, WASTE, & ABUSE

Eliminate human error in manual federal and state exclusion checks through
automated, always-accurate provider data.
Get Started
What is Provider Credentialing?



WE CATCH AND VERIFY EXCLUSIONS NO ONE ELSE CAN

LEVERAGE ENRICHED DATA TO REDUCE RISK AND QUICKLY IDENTIFY FRAUD

Our enriched primary source data enables instant verifications for Par and
Non-Par networks using limited provider data. With robust intelligence at your
fingertips, your teams can meet and exceed audit and survey requirements with
the click of a button.

GET COMPLETE INTELLIGENCE ON YOUR PROVIDER NETWORKS

Combine our industry-leading instant license verifications with our OIG,
SAM.gov, state Medicaid exclusion monitoring, NPI validation, DEA registration,
CMS ordering and referring, Medicare Opt Out, Social Security Death Master File,
and more. Customize those requirements by network participation.



ENSURE COMPLIANCE IN A SHIFTING REGULATORY ENVIRONMENT

RECEIVE ONGOING ALERTS TO PROVIDER NON-COMPLIANCE

Ongoing alerts to provider non-compliance with government LOBs are delivered
into existing workflows.

FINES AND PENALTIES CREATE A DEVASTATING EFFECT ON YOUR ORGANIZATION

Civil fines and penalties can be assessed by the OIG with more than $20,000 per
each item claimed or services provided. Avoid fines and penalties altogether
through more comprehensive monitoring.


CONSOLIDATE AND CENTRALIZE EXCLUSION MONITORING

THE NEW STANDARD IN COMPLIANCE INTELLIGENCE

Consolidated processes across your provider network, workforce, and vendor
populations reduce spend and provide readily-available reporting for CMS, URAC,
NCQA, and internal audits.

CONNECT YOUR SYSTEM OF RECORD VIA SEAMLESS AND SECURE INTEGRATIONS

We’ve designed our provider network monitoring to deliver fully verified
eligibility alerts weeks (or months) before any other solution. Get your
provider insights in your system of record through our seamless and secure API
integrations.

View All Case Studies



> "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 ACCURACY AND INTEGRITY BUILT TO SCALE

Explore our monitoring and verification solutions, specially designed with
Compliance and Payers in mind.

PROVIDER NETWORK MONITORING

We deliver healthcare’s most comprehensive compliance intelligence platform for
provider eligibility and continuous compliance.
Learn More

OIG EXCLUSION LIST MONITORING

We deliver healthcare’s most trusted ongoing OIG LEIE, SAM.gov, and state
Medicaid exclusion list monitoring.

Learn More


GO BEYOND REGULATORY REQUIREMENTS WITH EASE.

DATA SECURITY

Ensure SOC II and NCQA-certified security standards and controls.

NETWORK ACCURACY

Prioritize patient safety and access beyond initial credentialing.

REPORTING AND DOCUMENTATION

Always be audit-ready with primary source documentation for every provider.

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RELATED RESOURCES

View All Resources
Blog

PROVIDER CREDENTIALING: WHAT PAYERS NEED TO KNOW

Licenses and Credentials Payers
April 14, 2023
Read More

Guides

PROVIDER NETWORK MONITORING GUIDE

Licenses and Credentials Payers Providers
August 10, 2022
Read More
View All Resources


ELEVATE YOUR COMPLIANCE STANDARDS.

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406 11th Avenue N., Suite 250
Nashville, TN 37203

615-938-7878
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 * Solutions
   * Employee Monitoring
   * Provider Network Monitoring
   * Referring and Ordering Physician Monitoring
   * Vendor Monitoring
   * Federal and State Exclusion List Monitoring
   * License and Credential Verification
   * View All Products
   * View All Services

 * Providers
   * Human Resources
   * Procurement
   * Provider Compliance
   * Revenue Cycle
   * Virtual Care

 * Payers
   * Credentialing
   * Payer Compliance
   * Payment Integrity
   * Provider Operations
   * Special Investigations Unit
   * Value-Based Networks

 * About
   * Our Company
   * Careers
   * Blog
   * All Resources
 * Partnerships
   * Partner Program
   * Integrations

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   615-938-7878 Contact Us

Solutions
 * Populations
 * Products
 * Services

Populations
 * Employee Monitoring
 * Provider Network Monitoring
 * Referring and Ordering Physician Monitoring
 * Vendor Monitoring

Products
 * OIG Exclusion List
 * License and Credential Verification
 * SSN Death Master File
 * CMS Preclusion List
 * OFAC SDN List
 * National Practitioner Data Bank (NPDB)
 * View All

Services
 * CVO Primary Source Verification
 * Job Specific Credential Management
 * FDR Medicare Compliance
 * Attestation Collection
 * Vendor Onboarding

Providers
 * Human Resources
 * Procurement
 * Provider Compliance
 * Revenue Cycle
 * Virtual Care

Payers
 * Credentialing
 * Payer Compliance
 * Payment Integrity
 * Provider Operations
 * Special Investigations Unit
 * Value-Based Networks

Resources
 * Blog
 * Case Studies
 * Guides
 * Podcasts
 * Press Releases
 * Webinars
 * Exclusion Sources
 * NPI Lookup
 * View All Resources

Company
 * About Us
 * Partnerships

About Us
 * Our Company
 * Careers
 * Culture
 * Team

Partnerships
 * Partner Program
 * Integrations
 * API Docs

Get Started