Provider Preclusion & Ongoing Sanctions Monitoring
Remain fully compliant with CMS preclusion and sanction requirements by using our one platform – ProviderLenz™.
Giving Back
Continuous Compliance. Automated Oversight. Full Provenance.
ProviderLenz™ ensures health plans and provider organizations remain fully compliant with CMS preclusion and other sanction requirements by continuously monitoring federal and state exclusion lists, Medicaid sanctions, license board actions, NPPES NPI status, Medicare Opt-Outs, the SSA Death Master File, and OFAC checks.
Unlike traditional sanction-monitoring solutions, ProviderLenz requires no integration or data feeds to external platforms. All monitoring, analysis, and reporting happen continuously within the platform, with automated alerts delivered directly to relevant staff and management teams whenever issues or risks are detected.
sanction
AI-Powered Monitoring and Analysis
By embedding sanctions monitoring directly within ProviderLenz, health plans can maintain a single, authoritative record of provider compliance, with full auditability and defensible documentation.
Continuous surveillance of multiple sanction, exclusion, and licensing sources
AI-driven analysis to identify potential risks, duplicates, or anomalies
Cúratus
ProviderLenz
Automated reporting to designated teams for immediate actionAutomated reporting to designated teams for immediate action
Comprehensive provenance history showing exactly when and where sanctions were identified and addressed
who
Market Impact
A single platform supports multi-LOB directory management, eliminating fragmentation and inconsistency across plan types. ProviderLenz supports consistent, accurate directory experiences across:
Advance
Strategic Advantage
ProviderLenz™ turns sanctions monitoring from a manual, fragmented process into a continuous, automated, and auditable workflow. By eliminating the need for external integrations or manual reconciliation, organizations gain real-time visibility into provider compliance, reduce administrative burden, and ensure full regulatory confidence.
