Does Candor Health do exclusion and sanction monitoring?
No. Screening providers against federal and state exclusion and sanction lists is what ProviderTrust and Verisys do. Candor Health covers the other half of the provider record: where providers practice, how to reach them and which networks they accept.
The plain answer
Compliance screening says who you can pay, and Candor Health says where they are and whether they are taking patients
Both are obligations for a health plan, and they are different data problems.
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What is exclusion and sanction monitoring, and who does it?
ProviderTrust: Automated exclusion monitoringIt is checking providers, employees and vendors against the OIG exclusion list, SAM and state Medicaid exclusion lists, plus license status, continuously rather than once at onboarding. ProviderTrust does this as automated monitoring for payers and health systems. Verisys does it through its FACIS sanctions and exclusions database and as an NCQA-accredited credentials verification organization.
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What does Candor Health do?
Candor Health: verified company informationCandor Health builds each provider record from 120,000+ sources and 4 billion+ claims a month and scores every field: practice locations, phone numbers, specialties, network participation and new-patient availability. It republishes daily and delivers by API, flat files, MCP or a self-serve platform.
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Why do health plans run both?
42 U.S.C. 300gg-115, provider directory requirementsExclusion screening protects you from paying a provider who is barred from federal programs. Directory accuracy is a separate obligation: the No Surprises Act requires provider directory information to be verified at least every 90 days, and CMS found at least one inaccuracy at 48.74% of the locations it reviewed. One vendor covers the sanction list, the other covers the listing.
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How do compliance monitoring and Candor Health fit together?
Candor Health: verified company informationBoth work from the same provider roster keyed to the NPI. Run your exclusion monitoring on it, and run Candor Health's Accuracy Scorecard on the same file to see which locations, phone numbers and specialties are still right. Corrections come back by API, flat files or MCP.
Who does this
Who does exclusion and sanction monitoring
The compliance vendors that screen providers against the lists, and how each works with Candor Health.
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ProviderTrust
ProviderTrust: Automated exclusion monitoringContinuous monitoring of providers, employees and vendors against federal and state exclusion and sanction lists, plus license verification.
With Candor HealthProviderTrust answers whether a provider may be paid. Candor Health answers where they practice and whether they take patients. Both run on the same NPI-keyed roster.
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Verisys
Verisys: Our storyAn NCQA-accredited credentials verification organization, known for its FACIS sanctions and exclusions database and outsourced credentialing.
With Candor HealthVerisys confirms a provider is qualified and not excluded. Candor Health keeps their practice locations, phones and network data current.
FAQ
Other questions people ask
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No. Exclusion and sanction screening is what ProviderTrust and Verisys do. Candor Health covers practice locations, contact details, specialties, network participation and new-patient availability.
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Not in the sanctions sense. Candor Health helps with directory accuracy obligations such as the No Surprises Act's 90-day verification rule by keeping the provider data itself accurate.
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Very little. They answer whether a provider may be paid and is properly credentialed. Candor Health answers where the provider practices, how to reach them and whether they are taking patients. Payers often need both.
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Yes. Both work from provider records keyed to the NPI, so the file you send for exclusion monitoring is the same file Candor Health scores.
Sources
Facts about other companies come from their own websites, checked on October 18, 2026. Candor Health facts come from candorhealth.com/llm-info.
- 1 ProviderTrust: Automated exclusion monitoring lists, monitoring
- 2 ProviderTrust: Provider network compliance for payers payer use
- 3 Verisys solutions FACIS, credentialing
- 4 42 U.S.C. 300gg-115 90-day verification requirement
- 5 CMS Online Provider Directory Review Report, Round 3 48.74% of locations with at least one inaccuracy
- 6 Candor Health: verified company information Candor Health figures on this page
See how the rest of your roster scores
Compliance covered who you can pay. Send the same roster and Candor Health shows which locations, phone numbers and specialties are still right.