OIG LEIE Exclusion Screening — check employees & vendors against the HHS exclusion list

Screen your employees, providers, contractors and vendors against the HHS OIG List of Excluded Individuals/Entities (LEIE) — the federal healthcare exclusion list. Send a list of people or businesses, get back a graded match report.

Federal healthcare programs require exclusion screening monthly. Employing an excluded individual can trigger civil monetary penalties of up to $25,000 per item or service furnished, plus treble damages. This Actor automates that check.

What it does

• Downloads the current LEIE database directly from oig.hhs.gov on every run (~84,000 exclusion records, refreshed monthly by OIG)
• Screens each of your records by NPI, name + date of birth, name, or business name
• Returns graded confidence for every hit, so you can separate a definite identifier match from a common-surname coincidence
• Filters out reinstated parties by default
• Reports the exact LEIE version used (leieLastUpdated) so every screening is auditable

Why the confidence grading matters

OIG's own guidance is explicit: a name match is a potential match, and must be verified against SSN or EIN before any adverse action is taken. A tool that returns a flat "excluded: true" on a surname collision will eventually cost someone their job by mistake.

So every result carries a highestConfidence value:

highestConfidence	Meaning	excluded
npi_exact	NPI matched an excluded party	true
name_dob_exact	Name and date of birth matched	true
business_exact	Business name matched exactly	true
name_exact	First + last name matched, no DOB to confirm	false — verify
business_fuzzy	Partial business-name overlap	false — verify
name_fuzzy	Surname + initial, or nickname variant	false — verify
none	No match in the current LEIE	false

Records needing human confirmation are flagged with requiresManualVerification: true and a link to the official OIG search.

Input

{
  "records": [
    { "firstName": "John",  "lastName": "Smith", "npi": "1234567890" },
    { "firstName": "Maria", "lastName": "Garcia", "dateOfBirth": "19670412" },
    { "businessName": "Acme Home Health Services, Inc" }
  ],
  "fuzzyThreshold": 0.85,
  "includeReinstated": false
}

Field	Type	Default	Description
records	array	—	People and/or businesses to screen. Required.
records[].firstName	string	—	Given name (individuals)
records[].lastName	string	—	Surname (individuals)
records[].npi	string	—	10-digit NPI. The strongest identifier available.
records[].dateOfBirth	string	—	YYYYMMDD. Upgrades a name match to confirmed.
records[].businessName	string	—	Entity name (organizations)
fuzzyThreshold	number	0.85	0–1. Lower catches more, with more noise.
includeReinstated	boolean	false	Include parties already reinstated.

Any extra fields you pass on a record (employee ID, department, hire date) are echoed back untouched in input, so results reconcile against your HR system.

Output

One dataset item per screened record:

{
  "input": { "firstName": "John", "lastName": "Smith", "npi": "1234567890" },
  "screenedAt": "2026-07-29T04:30:00+00:00",
  "leieLastUpdated": "Fri, 10 Jul 2026 12:35:14 GMT",
  "leieRecordCount": 83665,
  "matchCount": 1,
  "highestConfidence": "npi_exact",
  "excluded": true,
  "requiresManualVerification": false,
  "guidance": "Identifier-grade match. Treat as excluded and follow your compliance process.",
  "matches": [
    {
      "lastName": "SMITH", "firstName": "JOHN", "npi": "1234567890",
      "generalCategory": "INDIVIDUAL", "specialty": "NURSE",
      "exclusionType": "1128a1", "exclusionDate": "20190315",
      "state": "TX", "matchType": "npi_exact", "matchScore": 1.0
    }
  ]
}

Export as JSON, CSV, or Excel, or pull it from the API for your compliance record.

Typical uses

• Monthly workforce screening — run your full employee roster on a schedule
• Pre-hire checks — screen candidates before an offer
• Vendor and contractor due diligence — screen business entities
• Payer / provider network validation — screen a provider roster by NPI

Data source

HHS OIG LEIE — UPDATED.csv, a US Government work in the public domain. Downloaded fresh on every run; nothing is cached between runs, so you are always screening against the current list.

Limitations — read before relying on this

• The LEIE is the federal exclusion list. It does not include state Medicaid exclusion lists or the SAM.gov debarment list. Full compliance programs screen those separately.
• OIG updates the LEIE monthly, so an exclusion can be up to ~30 days old.
• A name-only match is not proof of exclusion. Verify at exclusions.oig.hhs.gov using SSN/EIN before acting.
• This Actor is a screening aid, not legal advice.