{"uid":"cap_lt0bt0lAqkU_WfApkC-Yv","slug":"hhs-oig-leie-exclusion-list-screener-327b3cc3","name":"HHS-OIG LEIE Exclusion List Screener","description":"Screens a person or business name, or an NPI, against the HHS-OIG exclusion list (LEIE, Medicare and Medicaid): potential matches only, each with name score, reasons, NPI, state, specialty, exclusion type and date. Not a determination: confirm a match on the OIG online search with the SSN or EIN. Empty candidates is a paid 200. Not for employment or credit decisions. List dates and code meanings: GET /v1/exclusions/lists (free).","url":"https://api.flipvo.com/v1/exclusions/screen?utm_source=zero.xyz","method":"POST","headers":{},"bodySchema":{"type":"object","properties":{"npi":{"anyOf":[{"type":"string","pattern":"^[0-9]{10}$"},{"type":"null"}],"title":"Npi","default":null,"examples":["1528216520"],"description":"10-digit National Provider Identifier: an exact key."},"name":{"anyOf":[{"type":"string","maxLength":200,"minLength":2},{"type":"null"}],"title":"Name","default":null,"examples":["Future Pharmacy"],"description":"A person or a business. Required unless npi is given."},"limit":{"type":"integer","title":"Limit","default":10,"maximum":25,"minimum":1},"lists":{"anyOf":[{"type":"array","items":{"type":"string","const":"leie"},"minItems":1},{"type":"null"}],"title":"Lists","default":null,"description":"Lists to screen. Default: every loaded list."},"state":{"anyOf":[{"type":"string","maxLength":2,"minLength":2},{"type":"null"}],"title":"State","default":null,"examples":["PA"],"description":"US state or territory code: a match ranks a candidate higher."},"min_score":{"type":"integer","title":"Min Score","default":85,"maximum":100,"minimum":70,"description":"Name score floor, 70-100."}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.01","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.01/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.01","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.01","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_vvagvBvVN1HiDPOQolX7e","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.01","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Screens a person or business name (or NPI) against the HHS-OIG exclusion list (LEIE) and returns potential matches with name scores, exclusion types, dates, and related metadata.","exampleAgentPrompt":"Can you screen 'Advanced Care Pharmacy' in Texas against the OIG exclusion list and show me any potential matches with their exclusion type and date?","exampleUseCases":[{"title":"Pre-credentialing provider exclusion check","prompt":"Before we credential Dr. Emily Hartman as a new in-network provider, can you screen her name against the OIG LEIE exclusion list and flag any potential matches with their exclusion type and date?"},{"title":"Vendor compliance screening before contract","prompt":"We're about to sign a contract with 'Sunrise Medical Supplies' in Florida — can you check them against the HHS-OIG exclusion list to make sure they're not excluded from Medicare or Medicaid programs?"},{"title":"NPI-based exclusion lookup for billing eligibility","prompt":"Can you check NPI 1528216520 against the OIG exclusion list to confirm this provider is eligible to bill Medicare before we process their claims?"}],"resultDescription":"Returns a list of candidate matches from the OIG LEIE exclusion database, each including: a name similarity score (70–100), the reasons for exclusion, the NPI (if available), the provider's state and specialty, the exclusion type code, and the exclusion date. An empty candidates array with a 200 status is a valid (paid) response indicating no matches above the score threshold. Results are potential matches only and must be confirmed on the OIG online search tool using SSN or EIN before any action is taken.","failureModes":["No matches found (empty candidates array, still a paid 200 response)","Invalid NPI format (must be exactly 10 digits)","Name too short (minimum 2 characters required)","min_score outside allowed range 70–100","limit exceeds maximum of 25","Payment not provided or invalid (x402 payment required)","List code not recognized (use GET /v1/exclusions/lists to verify valid list codes)"],"whenToPreferThis":"Use this endpoint when you need automated, programmatic screening of individuals or businesses against the HHS-OIG LEIE exclusion list as part of a healthcare compliance, credentialing, or vendor onboarding workflow. It is especially valuable when you have a name or NPI and need to quickly identify potential exclusions with scored matches. Prefer this over manual OIG website lookups when processing multiple names programmatically or when embedding exclusion checks into an automated pipeline. Note: it returns potential matches only — a final determination requires manual confirmation on the OIG website using SSN or EIN. Do not use for employment or credit screening decisions.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-10-02T12:30:07.550Z","isFirstParty":false,"canonicalSlug":"hhs-oig-leie-exclusion-list-screener-327b3cc3"}