Credentialing Becomes a Decision, Not a Project: ProviderTrust Combines DataSpring's Attested Profiles with Continuously Verified Data for 4+ Million Providers

All it takes is an NPI. Provider data is verified at the source and monitored daily, so it's accurate today, tomorrow, and whenever you need it. And credentialing and re-credentialing stops being a project.

NASHVILLE, Tenn., Oct. 13, 2026 /PRNewswire/ -- ProviderTrust today announced it is bringing together attested data from DataSpring, powered by CAQH, with its continuously verified provider data, removing the work from credentialing and re-credentialing. DataSpring's Provider Data Portal captures attested data from roughly 80% of physicians nationwide and is used by 100% of national health plans. For shared customers, that record can now instantly run through DynamicNPI^®, ProviderTrust's live, verified provider data, which monitors more than 4 million providers every day across all 50 states. Verified at the source and kept current, there's nothing left to chase, re-verify, or coordinate.

"Everyone is trying to build a better credentialing workflow. We think that's the wrong goal," said Chris Redhage, co-founder and managing partner of ProviderTrust. "This isn't a workflow problem, it's a data problem. When the data is verified at the source and kept current every day, the workflow goes away. Credentialing becomes a decision, not a project. And because we monitor every provider every day, you can know a provider is eligible today, or confirm their eligibility on any day you need."

What Changes for the Industry

For decades, credentialing and re-credentialing have been projects: chasing documents, re-verifying the same provider for every plan, and lining up cycles across organizations. That work exists for one reason. You can't trust the data on its own until it is verified, and when it's wrong, organizations carry the risk and liability. Fix the data, and the workflow goes away.

• Instant verification. 96% of primary source verification data comes back instantly. Education, work history, and malpractice history are verified in 48 hours or less, far surpassing NCQA's 90-day verification time limit for certified CVOs.
• Accurate today, tomorrow, and whenever you need it. DynamicNPI monitors every provider across every state, every day, so data is as accurate on day 400 as on day one.
• Credentialing and re-credentialing without the scramble. The data is current during credentialing and when re-credentialing comes due, because ProviderTrust monitors it every day. No 36-month fire drill, just a pull and review of data that's been verified all along.
• Eligibility at any point in time. Daily monitoring creates a continuous eligibility history. If you need to know whether a provider was eligible on a specific date under your own eligibility rules, the answer is already available for audits, claims, payment disputes, and compliance reviews.
• No coordinating across plans. Every organization keeps its own timing. Because credentialing is a decision and there's no data to chase, there's no need to sync credentialing calendars with anyone.
• Less risk. Organizations instantly root out bad providers and bad provider data across their external networks and internal medical staff, and keep doing it every day.

Built on DataSpring's Industry-Standard Attested Data, Flexible When You Need It

DataSpring's attested provider data is the industry standard for payers. This partnership strengthens that standard and extends it to provider organizations.

Payers start with the DataSpring provider data they already rely on, and provider organizations can start with DataSpring's trusted attestation program or their own. When an organization needs more, it can add other authorized data sources or its own attestation processes, and ProviderTrust verifies every source with the same accuracy and speed.

Every Team Works From the Same Data

Once the data is right, every team that touches a provider can use it: initial credentialing, re-credentialing, payer enrollment, human resources, compliance, payments, billing, and scheduling. Data can be accessed through ProviderTrust's UI, API, or an approved AI agent working with ProviderTrust's enriched, verified provider data, so agents act on definitive results rather than interpreting raw data. This is governed by ProviderTrust's AI Trust & Integrity Program and AI Integrity Council, grounded in the NIST AI Risk Management Framework.

Already Built, Live for Every Joint Client Today

The connection between the two companies is already built, and this announcement reaches ProviderTrust's 1,000+ healthcare organization clients and DataSpring's network of 1,000+ health plans and other entities. The program is available today to any organization with an active DataSpring account and an active ProviderTrust account. To activate the connection, please contact your ProviderTrust or DataSpring account rep; they can set it up.

ProviderTrust sees this as the first phase of a broader relationship, with each company focused on what it does best: DataSpring on the attested record, and ProviderTrust on verifying and monitoring it.

"DataSpring has the attested record the industry relies on. We have the engine that verifies it and keeps it verified every day," Redhage added. "AI is only as good as the data behind it, and this partnership gives it verified data to act on. Together, that's the end of bad provider data, and the end of credentialing as a workflow. This is industry-changing, and it's available today."

About ProviderTrust

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, performing more than 215 million license and credential verifications annually and serving the nation's top health systems, payers, and healthcare organizations with over 14 million individuals or entities monitored on an ongoing basis. The Nashville-based company has consistently been recognized as one of the Best Places to Work by Modern Healthcare, Inc. Magazine, and the Nashville Business Journal. To learn more, visit providertrust.com.

SOURCE ProviderTrust Inc