How well do you know your provider network?
We’ve seen it many times: a payer is confident in their provider network data, until they begin working with ProviderTrust.
Our new payer clients often see a wave of surprise alerts and exclusions in their first days and weeks with ProviderTrust—not because these issues are new, but because their previous exclusion monitoring solution missed them.
Here’s what we found within Medical Mutual of Ohio’s current network of 63,113 providers:
Federal exclusions: 10
State exclusions: 15
Total number of exclusions found:
If these exclusions are surprising, it’s because 5 of them (20% of the exclusions found) were found only with ProviderTrust’s enriched data—meaning your current exclusion monitoring vendor couldn’t find them.
Providers with NPI validation issues:
Excluded providers:
Providers on the Medicare Opt-Out list:
Our Data Enrichment Strategy
We’ve spent more than 15 years refining our data enrichment strategy, enabling us to identify exclusions that no one else can, even with limited client data. We’ve compiled verified data points from all existing exclusion sources into a powerful data hub that bridges gaps and inconsistencies across the 50+ federal and state exclusion sources.
This means that ProviderTrust clients always have full visibility into the true exclusion status of their provider network.
About Us
ProviderTrust was founded in 2010 with a mission to create safer healthcare for everyone through OIG and state Medicaid exclusion monitoring. Today, the organization has developed the industry’s most accurate dataset for ongoing exclusion monitoring and primary source verification, serving the nation’s top health systems, payers, and pharmacy organizations. Learn more at providertrust.com.
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