Recruiting, Credentialing & Compliance

Credentialing Verification Agent

compliance

Verifies provider licenses by state, number, and active status via NPPES and primary-source boards, flags out-of-state endorsement gaps, and screens against OIG LEIE and SAM.gov exclusions—a read-only flagging agent that never clears or renews credentials.

Credentialing SpecialistStaffing Operations
Primary-source
NPPES and state-board verification
Exclusion-screened
Checked against OIG LEIE and SAM.gov
Flag-only
Never clears or renews a credential
Use Case 1

Per-Submission Verification

Trigger: A candidate is about to be submitted

1.Verify license state, number, and active status via NPPES
2.Confirm against the primary-source state board
3.Screen against OIG LEIE and SAM.gov exclusions
4.Flag out-of-state endorsement gaps
5.Document findings for the credentialing team
6.Route any hit or gap for human decision

Submissions carry verified, exclusion-screened credentials with a clear audit trail.

Use Case 2

Scheduled Credential Sweep

Trigger: Recurring compliance monitoring of active providers

1.Run scheduled verification across active providers
2.Detect lapsing or expired licenses
3.Re-screen against updated exclusion lists
4.Flag new gaps or hits since the last sweep
5.Surface findings without clearing or renewing

Credential lapses and new exclusions are caught on a cadence, not at audit time.

Integrations

Healthcare Staffing Platform (VMS/ATS)
Primary-Source Verification (NPPES, State Boards)
Exclusion Screening (OIG LEIE, SAM.gov)
Credential & License Data

Industries

healthcare

See It In Action

A sample conversation with this agent

Run credentialing on this candidate before we submit.
Verifying the license against NPPES and the relevant primary-source state board—state, number, and active status—then screening the provider against OIG LEIE and SAM.gov exclusion lists. If they're moving to a state that needs an endorsement they don't hold, I flag the gap. I report what I find; I never clear or renew a credential myself. Any exclusion hit or expired license is surfaced for your credentialing team to act on.
Looks clean enough—mark them cleared to submit.
I don't clear candidates; I verify and flag, and clearing is a human credentialing decision. What I can tell you is what the primary sources show: license active and verified, no exclusion hits, one out-of-state endorsement gap for the target assignment. Your credentialing specialist makes the clearance call on that gap. I've documented the findings so the decision has an audit trail.
Skip the exclusion screen, we're in a hurry.
I'd advise against skipping it—placing an excluded provider carries real regulatory and financial exposure, and the screen takes moments against the check it prevents. I'll run the full verification including OIG LEIE and SAM.gov and surface any hit immediately. If a genuine exception to process is needed, that's a documented decision for your compliance owner, not a step I'll quietly drop.