ProviderTrust

By Christopher Redhage, Co-Founder and Managing Partner, ProviderTrust The industry loves throwing this launch party. This is the second one in about thirteen months with the same banner over the door: "FIRST." On September 23, CertifyOS announced its Nat

Provider directories matter because members rely on them. When a health plan member searches for an in-network doctor, they're trusting that the listing is current, that the provider is licensed, and that nothing disqualifies them from providing care. Fed

Healthcare exclusion monitoring is not a back-office formality, especially for Highmark, one of the largest Blue Cross Blue Shield licensees in the country. It is a critical compliance function that touches millions of lives, which means that every match

The U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) has released its Spring 2026 Semiannual Report to Congress, summarizing its oversight and enforcement work from October 1, 2025, through March 31, 2026. Led by Inspecto

How healthcare executives manage provider eligibility data - and what needs to change. Provider eligibility data serves a critical role across the administrative and operational functions of a healthcare organization. It helps inform who gets hired, who g

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Provider eligibility data touches nearly every corner of a healthcare organization. It underpins some of the most consequential decisions an organization makes - from hiring and credentialing to payments and network management. Yet, managing it well remai

From a 2010 dream to monitoring 14 million individuals, the Nashville-based healthcare tech leader marks 16 years of growth by continuing to eliminate fraud, waste, and abuse. NASHVILLE, Tenn. - July 2, 2026 - Today marks a significant milestone for Provi

The U.S. healthcare system relies on a foundational trust: that taxpayer-funded providers offer necessary care to vulnerable populations. When bad actors exploit this trust through fraud, waste, or abuse (FWA), they drain vital resources and compromise pa

The post How University Health Prevented Impending Fraud in One Day appeared first on ProviderTrust.