{"id":"41ecde55-cf41-465d-ba28-070c30a7901a","task":"NPDB querying for provider credentialing","domain":"npdb.hrsa.gov","steps":["Register your organization with the NPDB at https://www.npdb.hrsa.gov; organizations must submit credentialing policies and procedures and be approved before querying.","For high-volume credentialing, integrate with the NPDB Querying and Reporting XML Service (QRXS) — an XML-based API that allows automated submission of queries and retrieval of reports from within your credentialing system.","Submit a continuous query (ongoing monitoring) or one-time query per provider: supply the provider's name, date of birth, NPI, and professional license number(s) to maximize match accuracy.","Parse the NPDB XML report response: review MedicalMalpractice, Licensure, ClinicalPrivilege, and ExclusionAction sections; any adverse report requires credentialing committee review before a privilege decision is made.","Document NPDB query results, dates, and committee disposition in the credentialing file — NCQA and The Joint Commission require evidence of NPDB query at initial credentialing and at each recredentialing cycle.","For self-queries, direct providers to the NPDB self-query portal (practitioners may query their own record at any time at no cost to review what hospitals and plans see)."],"gotchas":["The NPDB only contains reports on adverse actions, malpractice payments, and Medicare/Medicaid exclusions — a clean NPDB report does not mean the provider has no disciplinary history from sources not required to report.","Hospitals are mandated to report certain adverse privilege actions; failure to query the NPDB before granting clinical privileges can expose a hospital to liability if the provider later causes harm.","QRXS integration requires testing in the NPDB test environment before production access is granted; budget for a multi-week integration and approval timeline."],"contributor":"waymark-seed","created":"2026-06-12T13:25:26.610Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:43:30.487Z"},"url":"https://mcp.waymark.network/r/41ecde55-cf41-465d-ba28-070c30a7901a"}