USE CASE · EXCLUSION & SANCTIONS SCREENING
Catch an excluded provider before they bill a federal claim.
Screen your workforce and vendor roster against OIG LEIE and the loaded federal and state exclusion lists. Completed checks expose their available source and observation fields; coverage and field availability vary by list.
LEIE exclusion recordsFederal + state listsNPI-keyedStale coverage fails closed
✓ No PHI✓ First 25 NPIs free✓ $129 one-off certificate✓ No monitoring
The compliance exposure
One missed exclusion is a false-claims problem.
Billing a federal program for items or services furnished by an excluded individual is an overpayment, and can carry civil monetary penalties under 42 U.S.C. §1320a-7a. OIG recommends checking before employing or contracting and periodically afterward; because the LEIE updates monthly, OIG says monthly screening best minimizes potential liability. A spreadsheet checked once at onboarding cannot show when a later check ran.
Per Fonteum's screening of every order- and referral-eligible NPI, currently match an active exclusion across federal and state lists — and most have been standing for over a year. Oversight gaps, not lag.
The developer pain
Stale CSVs and hand-rolled NPI matching.
The raw exclusion files ship as fixed-width and CSV with inconsistent name fields, no NPI on every row, and no record of when you last pulled them. Teams end up writing brittle fuzzy-matchers and cron jobs to re-download a file that changes monthly — and still have nothing dated to hand an auditor.
A single GET by NPI returns the match decision and the full source citation inline. The freshness of each list is a first-class field, so a behind-SLA source is a flag in the response, not a silent gap.
How it works
The lists screened, and how a match is decided.
Supported
State-list coverage
OIG LEIE, SAM.gov federal debarment, and the currently loaded state Medicaid exclusion lists — consulted together in one screen. The other states are not covered.
NPI
Match key
Deterministic NPI match where the source carries one; name + identifier corroboration where it does not. Displayed matches name their source list when available.
Fail closed
Coverage guard
A negative is returned only when serving coverage reconciles to comparable attested source artifacts; otherwise the result is indeterminate.
2
Screening layers
Excluded-anywhere (a hard exclusion in force) and compromised-anywhere (a sanction or monitoring flag short of exclusion) are returned separately.
Integration & workflow
One screen. Two ways in.
Developers screen by NPI over REST. Compliance teams can screen the first 25 NPIs on screen or buy the one-off certificate for up to 25 NPIs. The free workflow does not create an export.
GET /api/v1/exclusions/{npi}
curl https://fonteum.com/api/v1/exclusions/1356482946 \
-H "Accept: application/json"Response
{
"npi": "1356482946",
"checked_at": "2026-06-17",
"excluded": true,
"excluded_by": ["oig-leie"],
"record_count": 1,
"exclusions": [
{
"authority": "OIG LEIE",
"exclusion_type": "1128(a)(1)",
"excl_date": "2019-03-20",
"reinstated": false
}
],
"compromised_anywhere": true,
"sources": {
"oig-leie": {
"provenance": {
"_source": "OIG LEIE",
"_source_url": "https://oig.hhs.gov/exclusions/",
"_snapshot": "2026-06-01",
"_last_checked": "2026-06-17",
"_methodology": "exclusions/v1",
"_confidence": 1.0
}
}
},
"disclaimer": "Screening aid — re-confirm any match against the primary source list before acting."
}Anonymous API screening is rate-limited to 100 requests/hour. The self-serve healthcare workflow separately checks the first 25 NPIs on screen.
- 01Enter up to 25 unique ten-digit NPIs in the self-serve workflow.
- 02Each NPI is screened against OIG LEIE, SAM.gov, and the supported state Medicaid exclusion lists currently loaded by Fonteum in one pass.
- 03Matches return the list, exclusion type, and date; review and re-confirm against the primary source.
- 04The free result stays on screen. A $129 one-off order accepts up to 25 NPIs and stores the completed PDF and JSON in the customer's account.
Sample audit-evidence artifact
ONE-OFF CERTIFICATE PACK
Price ................ $129
Roster limit ......... 25 NPIs
Formats .............. PDF + JSON
Delivery ............. Stored in customer account
Signatures ........... Aggregate manifest + one child attestation per NPI
Scope ................. Generated artifacts, not upstream registry truthThe free result stays on screen. The $129 one-off certificate stores PDF and JSON in the customer's account after roster submission, with signatures scoped to those generated artifacts.
Proof — not logos
Results identify the public source where the response supplies it.
Loaded LEIE rows
Production serving-table rows from the May 8, 2026 source release, checked July 12. Only the subset publishing NPI supports an exact NPI join; confirm against current OIG data.
oig.hhs.gov
Named source
Matches identify their originating federal or state list when the source plugin supplies that metadata; record-level links are not universal.
exclusions/v1
Methodology version
The version explains the calculation. Reproducing a past result also requires the retained input snapshot or row versions; methodology alone is insufficient.
Scoped
Attestation
Snapshot-attestation fields appear only where the export supplies a concrete object reference. No exclusion fact currently links deterministically to a witness signature.
“A screening aid is only as good as the date it was run. The date, the source, and the snapshot are the product.”
EXCLUSION & SANCTIONS
Screen the first 25 NPIs against the supported federal and state lists.
Questions
Before the security questionnaire.
Why not just run the OIG LEIE myself?
You can download the monthly LEIE file. What that does not give you is NPI-joined matching across the federal sources and Fonteum's currently loaded state lists at once, a dated record of when each check ran, and the source snapshot it ran against. Fonteum does not cover every state.
How often is the exclusion data refreshed?
OIG LEIE publishes monthly; SAM.gov and the supported state Medicaid lists currently loaded by Fonteum vary. Fonteum's loaded OIG release was dated May 8, 2026 when checked July 12, 2026. Confirm current status at the primary source before acting.
Do you screen against state Medicaid exclusion lists too?
Yes. Beyond OIG LEIE, Fonteum consults SAM.gov and the currently loaded state Medicaid exclusion lists for GA, IA, MD, MS, MT, NC, ND, NH, NY, OH, PA, TN, and WA. It does not claim coverage of the other states. Displayed matches name the source list and show a source-date field when available.
What audit fields can a screening result return?
The free workflow shows counts and matched-source breakdown on screen only. The $129 one-off certificate for up to 25 NPIs stores PDF and JSON artifacts in the customer's account after roster submission. Coverage and fields vary by source and response.
Do you store any patient data?
No. Screening runs against public federal and state records keyed by NPI. There is no PHI in the pipeline and none is required to run a roster scan or a single-provider check.
Go deeper
The data and research behind the screen.
Solutions
All solutions — by use case & buyer →
Guide
Exclusion & sanctions screening — the full guide →
Data catalog
OIG LEIE exclusion dataset →
Data catalog
State Medicaid exclusion lists →
Brand hub
The /sanctions exclusion hub →
Research
OIG exclusion patterns →
Compare
Exclusion screening vs doing it yourself →
Compare
Federal exclusion screening vs checking SAM.gov by hand →
Risk signals
OIG exclusion risk signal →
Use case
Build a defensible audit-evidence program →
Use case
Credentialing & provider-data enrichment →
For compliance
Fonteum for compliance & risk teams →
FONTEUM · EXCLUSION SCREENING
Screen the first 25 NPIs on public data only. No PHI.