ProviderTrust

The company operates on a Software-as-a-Service (SaaS) model, providing data and technology solutions to mitigate risk and ensure regulatory adherence for healthcare organizations. Its client base includes payers, providers such as hospitals and health systems, post-acute care facilities, and their vendors across all 50 states. Revenue is generated through subscriptions to its suite of monitoring tools. Since its inception, ProviderTrust has secured funding from investors including Susquehanna Growth Equity and SSM Partners to scale its technology and expand its customer base.

ProviderTrust offers a platform designed to automate the continuous monitoring of healthcare populations. Its core services include ongoing exclusion monitoring against federal (OIG, GSA) and state Medicaid exclusion lists, license and credential verification, and sanction screening. A key product, DynamicNPI™, provides a verified provider profile using just a National Provider Identifier. The platform serves Human Resources, Compliance, and Provider Operations teams by integrating with their existing workflows to identify eligibility and compliance issues before they can impact patient safety or result in financial penalties. This approach aims to reduce fraud, waste, and abuse by ensuring that all individuals and entities involved in patient care are properly credentialed and not present on any exclusion lists.