An Exclusion Screening LLC alternative that ships a signed attestation
Exclusion Screening LLC is a managed service that screens staff and vendors against the OIG LEIE, SAM.gov, and state Medicaid exclusion lists on your behalf. Fonteum delivers the same multi-list screen as a self-serve data product: upload a roster, get a same-day screen across the full , SAM.gov, and 17 state Medicaid lists, with a signed, chained attestation PDF. Public data only; no PHI.
Published June 19, 2026 · Last reviewed June 19, 2026 · Fonteum Research
Fonteum vs Exclusion Screening LLC
| Dimension | Exclusion Screening LLC | Fonteum |
|---|---|---|
| Delivery model | Managed service — staff run the screen and return results to the client on an engagement basis. | Self-serve data product plus FHIR API — upload a roster and receive the screen and attestation directly, or pull status programmatically. |
| Lists screened | Markets screening across OIG LEIE, SAM.gov, and state Medicaid exclusion lists. | OIG LEIE + SAM.gov + 17state Medicaid lists, plus a separate “compromised-anywhere” layer for OIG Corporate Integrity Agreements and CMS civil money penalties. |
| Signed, chained attestation | Delivers a screening report; the cryptographic basis of the result is not publicly documented. | Ed25519-signed, hash-chained attestation PDF — every match traces to its source file, snapshot date, and methodology version, re-derivable from the public record. |
| Federal source citation | Results summarize the lists checked; field-level federal source and date are not surfaced per match. | Each match carries source URL, dataset id, snapshot date, and SHA-256 — the auditor sees the federal record, not a derived summary. |
| Pricing model | Pricing is not publicly listed; engagements are quote-based. | Public data is free; the production pilot is published as a flat range ($2,500–$5,000/mo) with a 30-day no-penalty exit. |
| Turnaround | Service turnaround depends on the engagement schedule. | Same-day roster screen; first free screen returns the attestation without an onboarding cycle. |
Comparison reflects each provider's publicly described product category and posture as of the review date above. Where a vendor does not publish pricing, the cell says so rather than estimating. Fonteum names no figure it cannot source to a federal record.
The same multi-list screen, self-serve and re-derivable
Self-serve, not an engagement
A managed service is a fit when you want screening run for you on a schedule. Fonteum is the fit when you want to run it yourself, in minutes, and integrate it — upload a roster or call the FHIR API, and keep the signed attestation for your own file.
Compromised-anywhere, every list
Fonteum screens OIG LEIE, SAM.gov, and 17 state Medicaid lists together, and flags OIG Corporate Integrity Agreements and CMS civil money penalties as a separate monitoring layer — so an exclusion in any one jurisdiction surfaces.
Re-derivable, not a report you trust
Because the attestation chains to a published signing key and the source records are public federal files, an auditor can reproduce the result independently rather than relying on a service's summary.
Common questions
- How is Fonteum different from Exclusion Screening LLC?
- Exclusion Screening LLC is a managed service: its staff screen your employees and vendors against the OIG LEIE, SAM.gov, and state Medicaid exclusion lists and return a report. Fonteum delivers the same multi-list screen as a self-serve data product plus a FHIR API — you upload a roster and receive a signed, hash-chained attestation in which every match traces to its federal source file, snapshot date, and methodology version. The difference is delivery and provability: self-serve and re-derivable from the public record, at a published price, rather than a quote-based engagement.
- What lists does Fonteum screen against?
- OIG LEIE (federal healthcare exclusions), SAM.gov (federal debarment), and 17 state Medicaid exclusion lists, combined into one “excluded-anywhere” signal — plus a “compromised-anywhere” layer for OIG Corporate Integrity Agreements and CMS civil money penalties. Every match carries its source URL, dataset id, and snapshot date.
- Is the first screen really free?
- Yes. The public sanctions surface and the underlying federal lists are free to browse and download. For a roster, the first full-roster screen across OIG-LEIE, SAM, and every state Medicaid list — with the signed attestation PDF — is offered at no cost through pilot intake. Public data only; no PHI is required to run it.
- What does the attestation prove?
- It proves which lists were screened, the snapshot date of each, every match found, and the methodology version — signed with an Ed25519 key and chained so the record cannot be silently altered. Because the source records are public federal files, an auditor can re-derive the screen end to end. That is the standard CMS audits expect: which list, what date, the matched record.
- Can Fonteum run on a recurring schedule?
- Yes. Beyond a one-off roster screen, the pilot exposes the data through a FHIR R4 US Core API and HL7 bulk export, so a compliance system can re-screen the roster monthly and retain a dated, signed attestation each cycle. Because the OIG updates the LEIE monthly and recommends monthly screening, recurring re-screening keeps the record aligned to the federal file in force each month. See the screening guide.
- Does Fonteum publish pricing?
- Yes. Public sanctions data is free. The production pilot is published as a flat range ($2,500–$5,000/mo) with a 90-day term and a 30-day no-penalty exit. Exclusion Screening LLC does not publicly list pricing; engagements are quote-based. See /pricing.
Run the screen yourself — free, signed, sourced.
Upload your provider roster and get a free same-day full-roster screen across OIG-LEIE + SAM + all 17 state Medicaid lists, plus a signed attestation PDF. No PHI, no demo.
- /screening → How to screen for OIG, SAM, and state Medicaid exclusions.
- /compare/providertrust-alternative → ProviderTrust alternative for continuous exclusion monitoring.
- /compare/symplr-alternative → symplr alternative for the exclusion-screening job.
- /compare/verisys-alternative → Verisys alternative for OIG LEIE exclusion monitoring.
- /tools/oig-exclusion-search → Search the OIG LEIE by name or NPI, free.
- /data/state-exclusions → The federal + state “excluded anywhere” data hub.