One-time Batch Exclusion Screening for Healthcare Compliance
One-time Exclusion Screening compares your list of healthcare providers, employees, vendors, and contractors against the OIG LEIE, SAM, CMS, NPI, FDA, and State Medicaid exclusion lists—Get a comprehensive and consolidated Exclusion Screening Report in minutes.
One-time Exclusion Screening—Just $25 / 100
The $25 service fee covers a batch screening of up to 100 providers. Each additional group of 100 is charged an additional $25. A list containing 1–100 providers costs $25, 101–200 providers cost $50, 201–300 cost $75, and so on. No subscription or account is required for one-time screening.
- No Subscription required
- No User Account required
- Upload a provider list as an Excel, CSV, or TXT file
- Pay only for providers uploaded in batches of 100
- Download Comprehensive Exclusions Screening Report
One-time Exclusion Screening — Quick Answers
What is One-time Exclusion Screening?
One-time Exclusion Screening is a healthcare compliance batch exclusion screening service that compares your list of healthcare providers against the OIG LEIE, SAM, CMS, NPI, FDA, and State Medicaid exclusion lists, delivering a consolidated & comprehensive downloadable exclusion screening report—starting at just $25 for up to 100 providers screened.
Why is One-time Exclusion Screening important?
One-time Exclusion Screening is useful for new provider onboarding, credentialing, vendor screening, or periodic compliance checks. It’s ideal for small organizations with a limited number of providers that want to verify exclusions and gather documented evidence themselves.
What does HealthProviders DB check?
HealthProviders DB checks your provider list against federal and state exclusion and provider-status data sources. These sources include OIG LEIE, SAM.gov, State Medicaid exclusion lists, state licensing information, CMS Medicare data, FDA debarments and clinical investigator disqualifications, and NPI deactivation information.
See What Does One-time Exclusion Screening Check? below for the specific sources monitored.
What is included in the exclusions report?
The Exclusions Report is designed to give you a consolidated view of your provider screening results, including the information needed to investigate and verify the exclusion matches.
See an Exclusion Report You Can Actually Use below for the specific sources monitored.
How much does One-time Exclusion Screening cost?
$25 for up to 100 providers uploaded and screened. Each additional group of 100 is charged an additional $25. A list containing 1–100 providers costs $25, 101–200 providers cost $50, 201–300 cost $75, and so on. No subscription or account is required for one-time screening.
| Providers | Price |
|---|---|
| 1–100 | $25 |
| 101–200 | $50 |
| 201–300 | $75 |
| 301–400 | $100 |
| 401–500 | $125 |
Why Use One-time Exclusion Screening
One-time Exclusion Screening is useful for new provider onboarding, credentialing, vendor screening, or periodic compliance checks. It’s ideal for small organizations with a limited number of providers that want to verify exclusions and gather documented evidence themselves.
One-time Exclusions Screening is used for:
- New provider onboarding
- A compliance review
- An internal audit
- Credentialing
- Enrollment
- Vendor screening
- Contracting
- Periodic compliance checks
- A specific provider population
What Does One-time Exclusion Screening Check?
HealthProviders DB is a national healthcare provider database with over 9 million profiles—updated daily directly from publicly available state and federal databases—including the complete NPI database & deactivated numbers list, OIG LEIE, SAM, CMS Revoked Medicare Providers & Medicare Opt-out, all State Medicaid Sanctions, Suspensions, Terminations, and Exclusion lists, plus state license active status, and state licensing board disciplinary actions, FDA debarments, and Clinical Investigator Disqualifications.
| Database | What it identifies |
|---|---|
| OIG LEIE | Individuals and entities excluded from federal healthcare programs |
| SAM.gov | Federal exclusions and debarments |
| State Medicaid | State-specific Medicaid exclusions, terminations, and sanctions |
| State Licenses | State-specific licensing and disciplinary actions |
| CMS | Medicare opt-outs and revoked providers |
| FDA | FDA debarments and clinical investigator disqualifications |
| NPI | NPI deactivation status |
How One-time Exclusions Screening Works
Watch this short demonstration to see how easy it is to submit a provider list and obtain your screening results.
Step 1: Upload your provider list
Upload an Excel, CSV, or text file containing the providers you want to screen. For the best match quality, include the provider’s NPI number when available, as it improves accuracy. Also, when available, provide the provider’s name, address, and license numbers.
In addition, we also search organization-authorized official names because exclusions are often reported for the authorized official rather than the organization name.
Step 2: Pay based on the number of providers
Your price is based on the number of providers screened at $25 per 100 providers uploaded. You will receive an email with a link to download the Exclusion Report, which opens the checkout page.
Step 3: HealthProviders DB screens the list
In practice, the screening checks whether each provider is an exact match, a possible match that needs review, a reinstated record that has returned to active status, a deactivated NPI, an opted-out Medicare provider, or a clear match with no exclusion found.
Step 4: Download and review your report
Your comprehensive Exclusions Report automatically downloads after payment. It includes the provider’s full name, addresses, NPI number, license numbers, Medicare Opt-Out affidavit start and end dates, exclusion date, reason, reinstatement date, and primary-source links.
Exclusions have a status of Exact, Possible, Reinstated, Deactivated, Opted-out, or Clear, indicating whether the record is a confirmed match.
An Exclusions Report You Can Actually Use
The Exclusions Report is designed to give you a consolidated view of your provider screening results, including the information needed to investigate and verify the exclusion matches.
The Exclusions Report includes:
- The provider’s full name and Addresses for identity and location matching.
- NPI Number and Deactivation Date for identity matching and active status checks.
- License Numbers, Active Status, and Expiration Date for license verification and current status review.
- Medicare Opt-Out Affidavit Start and End Dates for assessing Medicare participation status.
- Exclusion Date, Reason, Reinstatement Date, and Status of Exact, Possible, Reinstated, Deactivated, Opted-out, or Clear for identification and verification.
- Links to the exclusion primary source record on the reporting agency’s website for verification and collecting documented evidence.
Sample Exclusions Report
What should I do with the exclusion matches?
Do not treat a screening result as a final determination. Verify all matches and collect documented evidence that you screened the provider. Even exact matches found by NPI number or by full name and address require verification and documentation of verification.
Documenting your screening due diligence is essential for every new hire, existing employee, and contractor. The Continuous Exclusion Monitoring subscription lets you save documentation with the provider exclusion.
The Exclusions Screening Report makes exclusion verification a breeze! By connecting you to primary source records on the reporting agency’s website, it streamlines quick verification and evidence gathering. With the Exclusion Report and your documentation, you’ll be all set for audits!
What to do with exact matches
Verify and document exact matches using the link provided to the exclusion’s primary source on the reporting agency’s website. An exact match is by NPI number or by full name, address, and primary specialty. Use the link provided in the Exclusion Report to gather documented evidence of your due diligence.
What to do with possible matches
Reviewing possible matches by name only is more difficult. You use the same verification tools to verify the exclusion on the reporting agency website. Additionally, you can also verify using identifying information such as NPI, name, address, and license number in the provider’s detailed profile on HealthProviders DB.
What to do with opt-out matches
Healthcare providers that have opted out of Medicare cannot receive Medicare reimbursements. Opted-out matches have start and end dates. Use the primary source link to obtain the Medicare Opt-out affidavit.
What to do with deactivated NPI matches.
Deactivated NPI matches mean the number is no longer valid. Use the primary source link to get evidence from the NPI registry.
Need Continuous Exclusion Monitoring Instead?
Continuous exclusion monitoring alerts you immediately to new and updated exclusions for the providers you monitor against state and federal exclusion lists as the reporting agency updates its website.
Continuous Exclusion Monitoring Features include:
- Easily manage your list of all healthcare providers, employees, vendors, and contractors for continual exclusion monitoring.
- Automatic monthly updates imported from OIG, SAM, and State Medicaid Exclusion Lists and matched to your provider list.
- Automatic Exclusions Change Notifications.
- Comprehensive, always-current, and audit-ready Exclusions Report available for download anytime.
- Exclusions Dashboard with total Providers, Exclusions, Verifications, Reinstatements, Medicare Opt-out, and NPI deactivations.
- Built-in Exclusion Primary Source Verification Tools.
- Save Notes & Documented Evidence of Exclusion Screening.
Like One-time Exclusion Screening, exclusions found and matched to your providers require your verification and documented evidence to stay compliant and audit-ready. Additionally, with a Continuous Exclusion Monitoring subscription, you can save notes and documented screening and verification evidence with the exclusion that is included in the Exclusion Report for audit review.
Even small organizations can benefit from using the Continuous Exclusion Monitoring subscription.
One-time Screening vs. Continuous Exclusion Monitoring
| One-Time Screening | Continuous Monitoring | |
|---|---|---|
| Best for | Occasional screening | Ongoing compliance |
| Provider list | Upload when needed | Continuously maintained |
| OIG LEIE | ✓ | ✓ |
| SAM | ✓ | ✓ |
| State Medicaid | ✓ | ✓ |
| Recurring monitoring | — | ✓ |
| Automatic change alerts | — | ✓ |
| Monitoring dashboard | — | ✓ |
| Saved screening evidence | — | ✓ |
| Price | $25/100 providers | $89 Monthly subscription |
Frequently Asked Questions
What information do I need to screen a provider?
The NPI number is the preferred identifier when available. Provider name, address, and state license information can also help identify and verify potential matches.
What format should my provider list be?
Upload your provider list as an Excel, CSV, or text file. Include the provider’s NPI number, name, address, and any required license numbers.
What information is included in the Exclusions Report?
The Exclusions Report includes provider name and address, NPI and deactivation information, license information, Medicare opt-out information, exclusion dates and reasons, reinstatement information, match status, and links to primary-source records for verification.
How quickly will I receive my report?
Your One-time Exclusion Screening starts immediately after payment, and the report downloads automatically.
What happens with my uploaded provider list?
We discard your uploaded provider list immediately after processing and do not save it anywhere.
Does a screening result guarantee that a provider is eligible to participate in federal healthcare programs?
No. Screening results are provided as informational compliance-screening data. Organizations should independently verify potential matches and determine appropriate action under applicable laws, regulations, contracts, and organizational policies.
Who should be included in Exclusion Screening?
Healthcare organizations must screen all individuals and entities that provide items or services payable by federal health care programs. This requirement applies to anyone whose work supports services reimbursed by Medicare or Medicaid—whether those services are provided directly or indirectly.
Healthcare Providers & Facilities
Hospitals, nursing homes, home health agencies, clinics, and physician practices.
Personnel
All employees (clinical and non-clinical), pharmacists, pharmacy staff, physicians, nurses, clinical staff, medical assistants, and administrative staff.
Contractors & Vendors
Third-party billing & coding services, transportation providers, ambulance services, and medical equipment suppliers.
Leadership & Support
Board members, managers, owners, and volunteers.
Basically, if an individual’s role contributes in any way to federally reimbursable services, that individual should be included in your OIG exclusion screening and Medicare exclusion monitoring process.
HealthProviders DB provides data and screening services to assist organizations with exclusion screening and compliance processes. Organizations should independently review and verify screening results, especially when a potential match is identified. The service does not constitute legal, regulatory, or compliance advice and does not guarantee that an organization will satisfy its legal or regulatory obligations.