Best Clinic OIG Exclusion Screening Software: 5 Picks 2027

Key Takeaways

• For most small clinics the hard part is not the screen itself. It is naming who runs the monthly check, who clears each potential match, and where the record of each run is kept.

• TL;DR: choose the tool whose list set and match review you can confirm in writing, then compare its annual cost with the number of screens you will actually run.

• Exclusion Screening and Accountable publish prices on their pricing pages. StreamlineVerify, ProviderTrust and Verisys did not publish a price on the pages we opened, so expect a quote from them.

• The free OIG file covers only the LEIE. SAM and state Medicaid exclusion lists are separate sources, and a tool that omits either one leaves a gap.

• A do-it-yourself build in Zapier, Make, or n8n can keep run history and error handling, but you still own match review, duplicate control and upkeep.

What an exclusion check covers, and where the free file stops

Exclusion screening software compares a roster of employees, contractors and vendors against federal lists of people and entities excluded from federal healthcare programs, then keeps a dated record of each result.

The HHS-OIG exclusion database is free to download as CSV, which makes it the baseline every paid tool is measured against. OIG file last updated: 10-09-2026 according to HHS-OIG (2026). That page says, "Every month, this file is replaced with the most current version of the complete database." It also says OIG archives monthly supplement files for only the previous 12 months, so a clinic that needs its own history has to save each version it screens against.

The LEIE is only one list. GSA's System for Award Management (SAM) is a separate federal list, and state Medicaid exclusion lists are separate again. ProviderTrust's exclusion-sources page draws the same split, listing the HHS-OIG LEIE and GSA SAM as federal sources and state Medicaid and Medicare exclusions as a state layer. Expect that structure in any vendor's description, and check which layers the contract actually covers.

Cadence is less of a differentiator than it looks. Three of the five tools below describe a monthly re-screen of the roster: Exclusion Screening, Accountable and StreamlineVerify. ProviderTrust describes ongoing change monitoring with alerts, and Verisys lets the client choose the frequency. The practical question is therefore not whether a tool screens monthly. It is which lists it checks each month and who acts on a hit.

How we evaluated these tools

This is a desk review of public vendor pages, a federal file page and one trade roundup. We did not open trial accounts or run any product, so every feature in this article is a vendor claim on a page we opened, not something we confirmed by use. The weights below are our judgment for a small clinic. They are not vendor data.

A September 2026 roundup on Onrec says only one of the five platforms it covered publishes a starting price. The Accountable pricing page we opened publishes three tiers, so the roundup and the vendor pages disagree. We used the vendor pages for every price in this article.

The weights total 100%.

Three candidates were dropped. Experian's exclusion screening product page returned an error when we opened it. The only symplr page we found was a 2018 press release. The MedTrainer exclusions page we opened is a login screen that does not describe the module, so none of the three is profiled.

Side-by-side feature matrix

"Not stated" means the page we opened did not say. It does not mean the vendor lacks the feature. The Verisys row relies on the Onrec roundup for LEIE and SAM coverage, because the Verisys page we opened does not name either list. Ask every vendor to put the missing answers in writing before you compare prices, because a gap on a marketing page is not the same as a feature the vendor has ruled out.

Pricing and total cost

The table below uses only prices we read on vendor pricing pages. Where a vendor publishes no price, the cell says so.

Pricing checked October 25, 2026.

Entry price: $30 per month according to Exclusion Screening (2026) is the lowest published figure in this group. The Basic plan on Exclusion Screening covers up to 100 screens a month, the OIG LEIE, GSA SAM and one state Medicaid list, and the page states no hidden fees. Exclusion Screening's Premium plan costs $40 per month for all 46 state Medicaid lists. That gap matters if your payers require more than one state list, so read the plan against your state's requirements rather than the headline price.

Accountable publishes three tiers. Its monthly prices are $199 for Basic HIPAA, $299 for Plus and $799 for Pro, according to Accountable (2026). Billed annually, those drop to $169, $254 and $679 per month. Accountable's FAQ says federal exclusion screening is included with Plus and Pro, while its federal screening page says it is included with every subscription. Get that answer in writing before you buy the Basic tier for screening alone.

StreamlineVerify and Verisys publish no price, so for those two the quote is the only number you will see before a sales call. We could not open a ProviderTrust pricing page, so its price is not published on any page we reviewed.

For a monthly-only check, the list price is the main cost. At list price, twelve monthly payments come to $360 a year on the Basic plan and $480 a year on Premium.

Take an illustrative clinic with 24 employees and 6 contractors, which makes 30 records on every monthly run. Thirty screens a run comes to 360 screens a year, which fits under the 100-screens-per-month cap on the Basic plan, and at the $30 list price the year costs $360 (12 × $30, using the price in the table above). If that same clinic pays its contract vendors through Stripe Connect, an account.updated event on a vendor's connected account is a sensible trigger for a one-off re-screen before the next payment, so a changed vendor is not paid before someone clears it.

Vendor profiles

Exclusion Screening

Best fit: a small practice that wants a flat monthly fee, a visible screen cap and monthly monitoring alerts, and that can cover its state requirement with the list tier it chooses. Both tiers include monthly monitoring and alerts, and the pricing page lists SAFER platform access and identity verification in each plan.

Limitations: the Basic plan includes one state Medicaid list, and anything above 100 screens a month moves you to custom pricing. The pricing page does not say who resolves a potential match or what a sample export looks like, so ask for both before you sign.

Implementation: the pricing page describes a hosted platform, not an integration. Ask for the file format the platform accepts, whether batch uploads count as one run or as many screens, and how a hit is recorded.

Accountable

Best fit: a practice that wants exclusion screening inside a broader compliance subscription, with HIPAA tools on the same bill.

Limitations: Accountable's federal screening page says it currently screens the OIG LEIE and calls state-specific lists "on our roadmap." The page does not mention SAM. Its FAQ and its federal screening page give different answers about which tiers include federal screening, so confirm which applies to your contract.

Implementation: the federal screening page says it runs "automatic monthly screening of all employees, contractors, and vendors against the LEIE." It does not describe an import format or a match-review workflow, so ask for both.

StreamlineVerify

Best fit: two options. Verify Professional is the self-service choice, which the page describes as unlimited users with automatic monthly re-screening and a full PDF report. Verify Enterprise is the managed choice, where trained verification specialists resolve flagged matches.

Limitations: the pages we opened name the OIG LEIE and "Federal and State exclusion databases" but do not name SAM or give a state count. The Enterprise tier advertises a "100% compliance guarantee" with no terms shown on the page, so read those terms before you rely on the guarantee. No price is published.

Implementation: Verify Professional runs on a centralized platform where your team imports records, runs screenings and stores reports. The page describes instant turnaround and free training, so ask whether the import template matches your roster export.

ProviderTrust

Best fit: credentialing and network teams that track licenses, certifications and sanctions together. Its product page lists alerts for "sanctions, exclusions, suspensions, or license expirations," which is broader than a clinic that only needs a monthly screen.

Limitations: the exclusion-sources page shows 7 states marked "No Available List" and 2 marked "Email Requests Only," so some state checks will remain manual. Pricing is not published on the pages we opened.

Implementation: the product page describes automated tracking, with staff alerted only "when a provider's eligibility status changes in a meaningful way." That is useful for a network. For a single clinic, ask how a state with no list is documented in the record.

Evidence: the ProviderTrust exclusion-sources page says its data was "as of 9/24/26" and maps 42 jurisdictions in its state dropdown, according to ProviderTrust (2026).

Verisys

Best fit: multi-state organizations that need credentialing-grade sanction data and can run a quote process. The FACIS product uses tiered levels, and its page says "FACIS Level 3" draws on sanctioning boards from all 56 U.S. jurisdictions. FACIS Level 3 sources: more than 3,000 according to Verisys (2024).

Limitations: the page we opened is dated January 8, 2024, so confirm the current source count before you rely on it. The Onrec roundup says Verisys is more platform than a practice that needs only monthly checks would require. Pricing is quote-based, and the page's only call to action is "Contact us today."

Implementation: monitoring frequency is set by the client, from annual through semi-annual, quarterly, monthly or continuous. Ask how results are delivered and how a hit is cleared, because the page we opened does not say.

Build it yourself, or configure a workflow around a source you own

The fair alternative is to build the check yourself. Zapier's troubleshooting guide says a halted run appears in Zap history, that you can choose whether to replay it, and that email alerts go out when a live Zap that has been running hits a problem, according to Zapier. n8n's error workflows start from an Error Trigger that receives the execution ID, the error message and the last node run, according to n8n. Both can keep run history, but the n8n page we opened does not say how long execution history is kept and does not describe retry-on-fail settings, so check those before you rely on them.

What you still own is the part vendors sell. You have to design duplicate control so a retried run does not raise the same match twice, set escalation for a hit that nobody clears, control who can see roster data, and update the logic when OIG changes its file. OIG publishes a Database Record Layout PDF that defines the fields, so that is the reference to maintain against. A fair test of any build is whether a named person could explain last month's run from the log alone.

A proposed US Tech Automations workflow would be a configured design, not a finished product, and it would start from the OIG file you already save. The trigger is a monthly schedule timed after OIG's monthly file replacement, plus an event trigger when a new hire or vendor record is created in your HR or practice system. The action reads a roster export or read-only API feed, normalizes names, matches on date of birth or NPI where the source provides them, and checks the same list files the clinic has licensed or downloaded. The output is an exception queue for a named reviewer and a run log that records the run date, the list file date, the record count, the match count and the reviewer's decision.

Before this runs, the clinic needs a CSV export or read-only API access to its roster, one named compliance owner, a decision on how SAM and state Medicaid lists will be sourced, and sign-off on who may pause a worker or a vendor. Human review sits at two points. Every potential match goes to a person who checks the primary OIG record before any employment or payment decision, and the workflow never removes a person or vendor on its own. A proposed US Tech Automations design can change the routing, the review thresholds and the log layout, but it cannot make a list complete if the clinic has not sourced that list.

Which option fits which clinic

Who this is for: owners and operations leads at a small clinic who must show a monthly screen for staff and contractors, and who are deciding between buying a tool and building one. Red flags: the vendor will not name SAM or your state lists in writing; nobody on your team will own match review; you cannot see a price, a seat limit or a sample export before you sign.

We would not reach for a configured workflow first if you need only one check a month for a roster you can screen in a single sitting. In that case the free OIG file and a dated log may cover the requirement, and a flat-fee tool may cost less to run than a build. US Tech Automations also adds little if you already have a managed service that clears matches for you, such as the Verify Enterprise tier, and the list coverage of the screening vendor matters more than any workflow built around it.

Common mistakes

• Treating the LEIE as the whole check when SAM and state Medicaid lists are separate sources.

• Assuming a published monthly price covers every list the clinic needs.

• Letting a potential match sit in an inbox with no named owner.

• Keeping no copy of the list file each run used, which makes the run impossible to reconstruct later.

• Buying seat-based pricing without counting contractors and vendors as records.

Decision checklist

1. Write down every list you must check, then match each tool against that list.

2. Ask who clears a potential match, how quickly, and where the decision is recorded.

3. Confirm the monthly screen cap and whether contractors and vendors count as separate records.

4. Ask for a sample run log before you sign.

5. Confirm you can export your results if you later switch tools.

Frequently asked questions

Is the free OIG file enough for a small clinic?

No. The free OIG file covers the LEIE only, so it is a starting point, and SAM and state Medicaid lists need their own source or a tool that covers them.

How often should a clinic screen?

Monthly is the cadence that three of the tools reviewed here describe, and the OIG file itself is replaced every month. ProviderTrust describes ongoing monitoring with alerts, which is more frequent. Ask your payers and compliance counsel what they require.

Do we need a SAM check as well?

Plan on one. SAM is a separate list from the LEIE, and three of the five vendor pages reviewed here do not name SAM. Ask your compliance lead which lists your payer contracts require, then confirm the tool covers them in writing.

Can we build this in Zapier, Make, or n8n instead?

Yes, if someone on your team will own the logic. Zapier and n8n both keep run history and error handling, but duplicate control, escalation and maintenance stay with you.

What is the lowest published price?

The lowest published figure is the Basic plan on Exclusion Screening at $30 per month. It covers one state Medicaid list, so confirm your state's requirement before you treat that plan as complete.

Choosing one before your next monthly run

Pick the tool whose list set and match review you can confirm in writing, then check that its run log names the list version used and the reviewer who cleared each hit. For a configured version of that routing and log, see how US Tech Automations configures this.