Service Providers

Developing 95-percent Accurate Provider Networks

With mounting administrative costs, compliance mandates and increases in fraudulent activities, efficient provider data solutions are critical to Service Providers. TruthMD understands the needs of Service Providers from their search for ways to increase Payer client operational and claims efficiencies to the continual need to improve trading-partner experiences for their end clients.

The Leading Data Solution
for Service Providers

For years, doctors have provided up to 90% of the information used in healthcare provider directories. Doctors also were responsible for self-reporting much of the information service providers use for provider eligibility, network development, contracting and operations.

Before TruthMD, there was little Service Providers could do to verify demographics. Today, MedFax data solutions enable Service Providers to review complete and integrated physician profiles, and close provider verification loopholes without dedicating staff members to weeks or months of expensive, labor-intensive manual research.

Did you know doctors who have licenses in multiple states are 2.2 times more likely to be sanctioned than doctors licensed in a single state?

Physicians provide up to 90% of the information used in provider directories. The hardest part is not verifying what they self report — it’s discovering what they don’t.

TruthMD’s MedFax—the leading source of Provider information in the U.S.

With MedFax data solutions, Service Providers have access to a complete, validated physician demographic profile and practice history for their current or prospective providers while being able to constantly monitor primary data sources for:








Legal Filings

Claims Records


Fraud, Waste and Abuse

The most valuable resource of fraud, waste and abuse programs can be summed up in a single word: time. TruthMD’s MedFax helps by expanding and accelerating provider-centric Fraud awareness.

Service providers know what a significant impact an ineligible provider can have on their networks. The longer that ineligible provider remains in their network, the more dollars they will be paid, and those dollars will likely be unrecoverable. Additionally, the more time it takes to identify a fraud, waste or abuse issue, the less likely service providers are able to stop claims being paid to sanctioned, fraudulent or excluded providers. With MedFax solution, ineligible claims from fraudulent providers are identified and pulled from the payment stream, eliminating all risk of recovery.

TruthMD’s MedFax provider data solutions enable Service Providers to regain that invaluable resource: time.

Complete Provider History
Physicians in the U.S.
Real-Time Data Sources

MedFax Service
Provider Solutions

Delivering Accurate Data and Sanctions Monitoring in Real Time

MedFax data solutions are designed to meet the needs of service providers and payers. Access to accurate and real-time data is crucial to operational efficiency while government compliance increasingly focuses provider directory accuracy, adequacy and ongoing sanctions monitoring.