OIG LEIE Healthcare Exclusion Screening 🏥

Screen names against the HHS OIG exclusion list (LEIE) — or export the full list as clean structured data. Official public data, no API key.

US health care providers and employers are required to screen their employees, contractors and vendors against the OIG List of Excluded Individuals/Entities (LEIE) — people and businesses barred from Medicare, Medicaid and other federal health care programs — typically every month. Employing or contracting an excluded party can mean serious civil penalties.

This Actor checks a list of names against the LEIE using fuzzy matching and flags potential hits, or exports the full list for your own systems.

Uses the official HHS OIG LEIE download — public government data. No API key needed.

⚠️ This is an informational screening tool against a public list, not a certified compliance solution. Confirm potential matches through OIG's verification process (SSN/EIN).

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What you can do with it

• 🏥 Monthly exclusion screening — check staff, providers and vendors (a compliance requirement).
• 🧾 Onboarding / credentialing — screen new hires and contracted providers.
• 🔁 Batch screening — check thousands of names in one run.
• 🗂️ Data feeds — export the current LEIE into your compliance system.

Features

• ✅ No API key — official OIG data, works out of the box.
• ✅ Fuzzy matching — catches near-matches, with a tunable threshold.
• ✅ Screen and Export modes — check your names, or dump the list.
• ✅ Rich records — profession, specialty, NPI, exclusion type/date, state, reinstatement date.

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Modes

Screen

Provide a list of names; get one row per name showing whether it matched an exclusion, the best score, and the matched records.

{
  "mode": "screen",
  "names": ["John A. Smith", "Acme Home Health LLC"],
  "matchThreshold": "0.85"
}

Export

Dump the LEIE, optionally filtered by name, state or entity type.

{
  "mode": "export",
  "state": "CA",
  "entityType": "Individual"
}

Output

Screen mode — one row per screened name:

{
  "query_name": "John A. Smith",
  "is_excluded": true,
  "match_count": 1,
  "best_score": 0.95,
  "top_match_name": "JOHN A SMITH",
  "top_match_type": "Individual",
  "top_match_general": "NURSING PROFESSION",
  "top_match_state": "NC",
  "top_match_exclusion_type": "1128b4",
  "top_match_exclusion_date": "2011-04-20",
  "matches": [ { "matched_name": "JOHN A SMITH", "score": 0.95, "type": "Individual", "general": "NURSING PROFESSION", "specialty": "NURSE/NURSES AIDE", "npi": "", "state": "NC", "exclusion_type": "1128b4", "exclusion_date": "2011-04-20", "reinstatement_date": "" } ]
}

Export mode — one row per exclusion (name, type, general, specialty, npi, date_of_birth, address, city, state, zip, exclusion_type, exclusion_date, reinstatement_date, waiver_date, waiver_state).

Run it on a schedule

The LEIE updates monthly. Schedule the Actor to re-screen your workforce each month, and connect a Slack / email / webhook integration to alert your compliance team on new hits.

Notes & limitations

• Uses the official HHS OIG LEIE download. Public data.
• Matching is name-based; tune matchThreshold to trade off false positives vs. misses.
• A potential match should be verified via OIG (SSN/EIN) before acting.
• Informational only — not legal advice or a certified screening solution.

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Keywords

OIG LEIE, exclusion screening, healthcare compliance, excluded individuals, excluded entities, Medicare exclusion, Medicaid exclusion, OIG exclusion list, sanction screening, provider screening, credentialing, LEIE download, healthcare fraud, compliance, monthly exclusion check, denied provider, federal healthcare programs, exclusion database, HHS OIG, name screening.