Provider directory verification, done continuously and documented for a regulator
ProviderONE delivers multi-channel outreach, NPI validation, and audit-ready reporting — so your directory reflects what’s actually true.
Provider data decays faster than most plans can track it
Providers change locations, leave networks, and stop accepting new patients constantly — and federal directory-accuracy rules are inconsistent between CMS and the states, with more changing every year.
Inaccurate directories create downstream costs in claims, credentialing delays, and member access to care — and they’re increasingly a compliance finding on their own.
What ProviderONE delivers
Multi-channel provider outreach
Direct outreach to confirm what NPPES and self-reported data cannot tell you.
NPI & hospital affiliation verification
Validation against NPPES plus confirmed practice locations and affiliations.
Audit-ready reporting & integration
Structured data delivery with a documented trail for CMS and state review.
How it works
Load your current directory and network roster.
Providers are contacted to confirm current data.
Responses are validated against NPPES and captured.
Clean data flows back into your systems, with a trail.
Verification repeats on a cadence, not once a year.
Regulatory coverage
Built around the requirements that govern directory accuracy.
Verified data, not just API access.
Most competitors sell API access to NPPES data. ProviderONE sells outreach that confirms what NPPES cannot tell you — documented, so it holds up under a regulator’s review.
