A symplr alternative for the exclusion-screening job
symplr is a broad healthcare operations and governance software suite — credentialing, provider data management, workforce and compliance modules sold to enterprises through a sales process. If the specific job is exclusion screening, Fonteum is the focused, source-provenanced alternative: it screens a roster against the full , SAM.gov, and 17 state Medicaid lists and returns a signed, chained attestation PDF. Public data only; no PHI.
Published June 19, 2026 · Last reviewed June 19, 2026 · Fonteum Research
Fonteum vs symplr (exclusion-screening scope)
| Dimension | symplr | Fonteum |
|---|---|---|
| Product scope | A wide enterprise suite spanning credentialing, provider data management, workforce, and compliance; exclusion and sanctions monitoring is one capability among many. | A focused, source-provenanced exclusion-screening data layer — and a FHIR API — that drops underneath whatever credentialing workflow you already run. |
| Lists screened | Markets sanction and exclusion monitoring across federal and state lists within its compliance module. | OIG LEIE + SAM.gov + 17state Medicaid lists, plus a separate “compromised-anywhere” layer for OIG Corporate Integrity Agreements and CMS civil money penalties. |
| Monitoring cadence | Ongoing monitoring is the marketed model. | Each list re-pulled on its source cadence (LEIE monthly, SAM daily, state lists weekly–monthly); the snapshot date travels with every match. |
| Signed, chained attestation | Screening results render inside the platform; the cryptographic basis of a result is not publicly documented. | Ed25519-signed, hash-chained attestation PDF on every screen — match, source file, snapshot date, and methodology version, re-derivable from the public record. |
| Pricing model | Pricing is not publicly listed; access is quote-gated through a sales process. | 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. |
| Self-serve vs demo | Enterprise sales and onboarding. | Self-serve: upload a roster, get a free same-day screen with the signed attestation attached — no demo. |
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.
Right-sized for the screening job, traceable to the federal record
Buy the screen, not the suite
A full GRC suite is the right answer when you need credentialing, workforce, and contract management in one place. When the job is exclusion screening, Fonteum is the focused data layer — it slots under your existing workflow through the FHIR API instead of replacing it.
Compromised-anywhere coverage
Fonteum screens OIG LEIE, SAM.gov, and 17 state Medicaid lists together so a single-state exclusion on a relocated provider is not missed, and flags OIG Corporate Integrity Agreements and CMS civil money penalties as a separate monitoring signal.
An attestation an auditor can re-derive
Every screen ships a signed, hash-chained PDF whose basis is the federal file itself — source URL, snapshot date, methodology version — so the audit answer is the primary record, not a derived verdict.
Common questions
- How is Fonteum different from symplr?
- symplr is a broad healthcare operations and governance suite — credentialing, provider data management, workforce, and compliance modules sold through an enterprise sales process — in which exclusion and sanctions monitoring is one capability. Fonteum is a focused, source-provenanced exclusion-screening data layer plus a FHIR API: it screens a roster against the OIG LEIE, SAM.gov, and state Medicaid lists and returns a signed, hash-chained attestation in which every match traces to its federal source file and snapshot date. You buy the screen, not the suite, at a published price.
- Does Fonteum replace a credentialing platform?
- No. A credentialing platform runs the workflow: task queues, re-credentialing calendars, primary-source license checks, committee approvals. Fonteum is the data tier underneath — it makes the exclusion-screening basis traceable to the federal record and exposes it through a FHIR R4 API, so an existing credentialing system can consume provenanced exclusion status on a schedule. Fonteum supplements the workflow tier; it does not run the re-credentialing calendar.
- 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 separate “compromised-anywhere” layer for OIG Corporate Integrity Agreements and CMS civil money penalties. Every match carries its source URL, dataset id, and snapshot date.
- 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. symplr does not publicly list pricing; access is quote-gated through a sales process. See /pricing.
- Why does a signed attestation matter in an audit?
- CMS expects a screening record to show which list was checked, on what date, and the matched federal record. A platform that returns a clean-or-excluded result without surfacing the underlying file and date leaves a gap. Fonteum's Ed25519-signed, hash-chained attestation closes it: the basis is the federal record with its snapshot date, re-derivable end to end.
- Can we screen a multi-state roster in one pass?
- Yes. Telehealth, locum, and staffing organizations with multi-state 1099 rosters are the core case. Upload the roster and Fonteum screens every provider against OIG LEIE, SAM.gov, and all 17 state Medicaid lists in one pass, returning a single signed attestation. This is exactly the “compromised-anywhere” gap a single-state or federal-only check leaves open. Start at /screening.
Buy the screen. Skip the suite.
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/exclusion-screening-llc-alternative → Exclusion Screening LLC alternative — the managed-service comparison.
- /compare/verisys-alternative → Verisys alternative for OIG LEIE exclusion monitoring.
- /data/state-exclusions → The federal + state “excluded anywhere” data hub.
- /use-cases/payer-credentialing → Provider credentialing data for health-plan compliance teams.