Standard Checks Miss More Than 25% of Exclusions

Nearly 27% of all exclusions uncovered in this analysis surfaced only through ProviderTrust’s enhanced primary source verification and proprietary data enrichment, meaning that standard federal and state list checks alone would have missed them entirely. Close to 1 in 4 excluded providers in this dataset would have passed a standard, point-in-time credentialing check without being flagged.

This is the single strongest data point in this report for continuous, primary-source verification, rather than a one-off check trusted until the next cycle. A point-in-time check only tells you what was true the day you ran it. Continuous monitoring, powered by primary-source verification and enriched with ProviderTrust's proprietary dataset, catches exclusions that surface after the credentialing file is closed.