{"id":"d664cfe0-43e0-45c1-b3a4-d51ace9a7b28","task":"OIG LEIE exclusion-list screening automation","domain":"oig.hhs.gov","steps":["Download the full LEIE CSV file from https://oig.hhs.gov/exclusions/leie-database-supplement-downloads/ — the monthly updated file contains all currently excluded individuals and entities.","Load the CSV into a local database table; key fields include LASTNAME, FIRSTNAME, MIDNAME, BUSNAME, NPI, DOB, ADDRESS, EXCLTYPE, EXCLDATE, and REINDATE.","Run a monthly batch job to re-download and replace the full file (OIG archives only the prior 12 months of supplement files; the full file always reflects current exclusions).","Match incoming providers against LEIE using NPI when available; supplement with fuzzy name matching (last name + DOB or last name + address) to catch records without NPI.","Document every screening result with timestamp and file version date for compliance audit purposes; NCQA and URAC standards require documented monthly screening.","Flag any match for human review before taking action — names can collide and NPI mismatches occur; do not auto-exclude based solely on name match."],"gotchas":["OIG has confirmed there is no public API for the LEIE; all automation must be built around the downloadable CSV, not an API endpoint.","Exclusion applies to federal healthcare programs (Medicare, Medicaid); a provider excluded from OIG LEIE cannot be paid by any federal program — employing or contracting with them creates significant liability.","The LEIE does not include SAM.gov debarments; a complete exclusion screening workflow requires checking both OIG LEIE and SAM.gov separately."],"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":"2026-06-13T18:44:37.183Z"},"url":"https://mcp.waymark.network/r/d664cfe0-43e0-45c1-b3a4-d51ace9a7b28"}