OnPanel Health Provider directory audits

Public payer directory audit

We check what your payers publish about your clinicians

For multi-state behavioral health and telehealth groups. We compare each payer's public directory record against the federal NPPES filing your clinician made themselves, and keep the disagreement as evidence.

Check my group’s listings

Published professional directory data only. No patient data, no portal logins.

An actual finding · payer and clinician redacted

Same clinician. Different profession.

Payer directory

Published to patients

Psychiatry Physician

2084P0800X

≠

Federal NPPES record

Filed by the clinician

Physician Assistant

363A00000X

Mismatch. Both values are copied from their source without rewording. These are different professions, not a difference of opinion about a specialty.

The problem

You submitted the update. Nobody knows whether it took.

You send the roster. You get a confirmation number. Months later a patient calls the wrong office, or a payer rep tells you the record was never changed, and the first thing anyone asks is whether you submitted it.

Your credentialing software can show you what you sent. It cannot show you what the payer published.

What is known

18%

of calls reached a provider who could actually schedule an appointment, in a Senate Finance Committee secret-shopper study of Medicare Advantage mental health listings.

40.3%

of listings already flagged as inaccurate were still wrong when a 2024 resurvey of Pennsylvania marketplace directories checked them more than 500 days later.

Nobody had corrected them, because nobody was checking.

How we check

Federal rule requires Medicare Advantage and Medicaid managed care plans to publish provider directory data through a public API and update it within 30 days. That is the record your patients search. We read it directly, clinician by clinician, and compare it against the NPPES enumeration your clinicians filed themselves.

Where the two disagree, you get the payer's exact published value, the federal value, a link to the source, and a timestamped copy of the response we read it from.

What it costs

$1,950

Up to 75 clinicians across five payers in one state. $25 per clinician after that.

If we find fewer than five appointment-breaking errors in your first fifty clinicians, you pay nothing.

A findings sheet, one row per discrepancy, ranked so the appointment-breaking ones are at the top. A one-page memo you can forward without editing. Every value traceable to a saved copy of the payer's own response.

Scope

This is not credentialing software and there is no dashboard subscription. We do not file anything on your behalf and we do not need your portal logins. We never touch patient data. Everything we read is published professional directory information.

If your listings turn out to be clean, that is the finding, and we will tell you so in writing.

Request

Check my group’s listings

Leave your work email. We will run the check and send you what we find.

No patient data. No portal logins.