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ProviderTrust For Health Plans

The predictive monitoring solution for your organization's provider network

To our friends in compliance, claims, fraud, provider network relations and everyone in between: you’ve found the smarter data engine for your provider network.

Instead of chasing down money paid on fraudulent claims, what if you could keep it from being paid out in the first place?

ProviderTrust helps health plans maintain the integrity of their provider network and data. Our tools integrate with your workflow to fill in the gaps of your provider data, keeping you compliant and keeping money from leaving your pocket to pay fraudulent claims.

Ongoing exclusion monitoring of your provider network

Satisfy compliance requirements and maintain provider integrity by completing ongoing monitoring of your network to identify excluded providers and vendors.

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Instantly screen each and every claim - before payment

Integrate ProviderTrust into your claims processing system using our provider API. Stop funds from being distributed to excluded providers or providers opted out of Medicaid.

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Verify and monitor the licenses of your provider network

Verify license validity against primary source data and monitor on an ongoing basis to prevent expiration and be notified of any disciplinary actions.

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Mix and match to build a solution that works for you

Our flexible tools powered by smart data can be combined in different ways to fill in the missing pieces to your provider management strategy. Get in touch today to get started!

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The proof is in the results

Read more about how we helped one of the country’s top health plans catch an average of 28 excluded providers per week, allowing them to recover funds that were previously inadvertently paid out.

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Get results like these for your organization

Why wait? Take the next steps to making your job easier, more efficient, and better than ever. Get in touch to demo our software, get pricing, or just introduce yourself.

If you'd rather just give us a call, you can reach us at:

(615) 938-7878