License Verification
Every clinician behind a loan checked against license boards and exclusion lists, at funding and every month after.
Why it matters
Funding an excluded or unlicensed provider means lending against receivables Medicare will not pay; checks run by hand across state boards and federal lists.
How the solution handles it
Agents identify each clinician and entity, verify licenses at the issuing board, screen the OIG and SAM exclusion lists, check DEA and NPI status, and re-run the checks monthly as the lists update. A compliance officer clears every hit.
How a provider check moves
Five agents identify each provider, verify licenses, screen OIG and SAM, check DEA and NPI, and watch expiries; a compliance officer clears every hit.
What it reads, and what it hands back.
What goes in
- State medical, dental, veterinary boards
- NPPES NPI registry
- OIG LEIE and SAM.gov exclusions
- DEA registration
- NMC and state council registers (India)
What comes out
- Verification report with source and date
- Exclusion and sanction hits
- Expiry calendar
- Re-check log
Who uses it
The difference, in numbers.
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
Rules: 42 CFR 1001.1901 (no federal program payment for excluded providers) · OIG LEIE, updated monthly · “Target” = design goal, measured in the live solution
5 specialist agents. One person decides.
More in this division.
Every practice purchase underwritten on what it collects, not what it bills, with the seller’s handoff checked.
Receivables FinancingMedical receivables valued at what payers actually pay, payer by payer, with denials priced in.
Patient FinancingEvery patient financing file affordability-checked in minutes, with terms in plain words before they sign.
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