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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 public-source alternative: its free workflow checks the first 25 NPIs on demand against the loaded

OIG LEIESource: OIG LEIE · As of 2026-05-08
, SAM.gov, and 13 currently loaded state Medicaid lists and shows counts plus a matched-source breakdown on screen. The other states are not covered. Public data only; no PHI.

Published June 19, 2026 · Last reviewed June 19, 2026 · Fonteum Research

Side-by-side comparison

Fonteum vs symplr (exclusion-screening scope)

Fonteum vs symplr (exclusion-screening scope)
DimensionsymplrFonteum
Product scopeA wide enterprise suite spanning credentialing, provider data management, workforce, and compliance; exclusion and sanctions monitoring is one capability among many.A focused self-serve workflow that checks the first 25 NPIs on demand and shows the result on screen. Separately priced Grounding API plans are not included in the healthcare-screening plans.
Lists screenedMarkets sanction and exclusion monitoring across federal and state lists within its compliance module.OIG LEIE + SAM.gov + 13currently loaded state Medicaid lists, plus a separate “compromised-anywhere” layer for OIG Corporate Integrity Agreements and CMS civil money penalties.
Monitoring cadenceOngoing monitoring is the marketed model.Publisher cadences vary and do not prove a load completed. Fonteum's loaded OIG release was dated May 8, 2026 when checked July 12; other lists expose their own available observation dates.
Report artifact integrityScreening results render inside the platform; the cryptographic basis of a result is not publicly documented.The paid certificate pack carries an aggregate Ed25519-signed manifest and signed child artifacts. Those signatures cover the generated artifacts, not the underlying registry facts.
Pricing modelPricing is not publicly listed; access is quote-gated through a sales process.The on-screen result is free for the first 25 NPIs. The separate certificate pack costs $129 once for up to 25 NPIs.
Self-serve vs demoEnterprise sales and onboarding.Self-serve on-demand result for the first 25 NPIs, on screen only. A paid certificate pack is submitted separately after checkout; no recurring monitoring is included.

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.

What Fonteum does differently

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's free workflow checks the first 25 NPIs on demand. Separately priced Grounding API plans are not included in the healthcare-screening plans.

Compromised-anywhere coverage

Fonteum screens OIG LEIE, SAM.gov, and 13 currently loaded state Medicaid lists together. Matching depends on the identifiers a list publishes, and a no-match is not clearance. Fonteum also flags OIG Corporate Integrity Agreements and CMS civil money penalties as a separate NPI-linked integrity signal, not recurring monitoring.

Retain the screening basis

The free workflow shows available counts and a matched-source breakdown on screen without creating an artifact. The paid certificate pack stores signed PDF and JSON artifacts; those signatures do not create a signature link to each matched fact.

FAQ

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's free workflow checks the first 25 NPIs against the OIG LEIE, SAM.gov, and 13 currently loaded state Medicaid lists and shows the result on screen; the other states are not covered. The separate $129 one-off certificate pack accepts up to 25 NPIs after checkout and account roster submission. Separately priced Grounding API plans are not included in either screening workflow.
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's healthcare-screening workflows provide an on-screen result or a one-off certificate pack. Separately priced Grounding API plans are not included. Fonteum does not establish clearance or run a re-credentialing calendar.
What lists does Fonteum screen against?
OIG LEIE (federal healthcare exclusions), SAM.gov (federal debarment), and 13 currently loaded 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. Source, dataset, and observation fields vary by result; a no-match is not clearance.
Does Fonteum publish pricing?
Yes. The on-demand result is free for the first 25 NPIs. The one-off certificate pack costs $129 for up to 25 NPIs. symplr does not publicly list pricing; access is quote-gated through a sales process. See /pricing.
What screening evidence should an audit retain?
Retain the lists checked, query inputs, observation date, matched record, and limitations. The free workflow shows its result on screen without creating an artifact. The paid certificate pack stores PDF and JSON artifacts with signatures over their generated bytes, but no provenance fact currently links deterministically to those signatures.
Can we screen a multi-state roster in one pass?
The free workflow checks the first 25 NPIs against loaded OIG LEIE, SAM.gov, and the 13 state Medicaid lists currently in Fonteum and shows the result on screen. The separate $129 certificate pack accepts up to 25 NPIs after checkout and account roster submission. The other states are not covered, matching depends on identifiers published by each list, and a no-match is not clearance. Start at /screening.
Self-serve screen

Buy the screen. Skip the suite.

Screen the first 25 NPIs across OIG-LEIE, SAM.gov, and the 13 currently loaded state Medicaid lists, with source and observation fields where populated. The free result stays on screen. The other states are not covered. No PHI.

See also

Fonteum presents public-record information with source, date, and limitation context. Sources can change after capture. This service is not a consumer reporting agency and is not for employment, housing, credit, insurance, or other FCRA-regulated eligibility decisions.

What’s on file, by the numbers

Platform snapshot · 2026-08-04

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
77fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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