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Looking for a ProviderTrust alternative for exclusion screening?

Q: What lists does Fonteum screen against?

Fonteum screens against the OIG LEIE (federal healthcare exclusions), SAM.gov (federal debarment), and 17 state Medicaid exclusion lists, combined into a single "excluded-anywhere" signal. A separate "compromised-anywhere" layer surfaces OIG Corporate Integrity Agreements and CMS civil money penalties — active federal monitoring short of exclusion. Every match carries its source URL, dataset id, and snapshot date.

ProviderTrust is a healthcare compliance company that sells continuous exclusion, sanction, and license monitoring through a demo-led enterprise contract. Fonteum is the source-provenanced data layer underneath that job: it screens an uploaded roster against the full , SAM.gov, and 17 state Medicaid exclusion lists, and returns a signed, chained attestation PDF you can drop into an audit file. Public data only; no PHI.

Published June 19, 2026 · Last reviewed June 19, 2026 · Fonteum Research

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Side-by-side comparison

Fonteum vs ProviderTrust

Fonteum vs ProviderTrust
Dimension	ProviderTrust	Fonteum
Lists screened	Markets continuous monitoring across federal and state exclusion lists, OFAC, and license boards as part of a compliance suite.	OIG LEIE + SAM.gov + 17state Medicaid exclusion lists, plus OIG Corporate Integrity Agreement and CMS civil-money-penalty flags as a separate “compromised-anywhere” layer.
Monitoring cadence	Continuous / monthly monitoring is the marketed model.	Each federal and state list is re-pulled on its own published cadence (LEIE monthly, SAM daily, state lists weekly–monthly) and the snapshot date travels with every match.
Signed, chained attestation	Returns a screening result inside the platform; the cryptographic basis of a given result is not publicly documented.	Every roster screen ships an Ed25519-signed, hash-chained attestation PDF — the match, the source file, the snapshot date, and the methodology version, re-derivable from the public record.
Federal source citation	Exclusion data is consumed inside the product; the originating federal file and date are not surfaced field-by-field.	Every match carries its source URL, dataset id, snapshot date, and SHA-256 — the auditor sees the federal record itself, not a derived verdict.
Pricing model	Pricing is not publicly listed; access is quote-gated through a sales demo.	Public sanctions data is free; the production pilot is published as a flat range ($2,500–$5,000/mo) with a 30-day no-penalty exit.
Self-serve vs demo	Demo-led enterprise onboarding.	Self-serve: upload a roster and get a free same-day screen across OIG-LEIE + SAM + every state Medicaid list, with the signed attestation PDF attached. No demo required.

Comparison reflects each provider's publicly described product category and posture as of the review date above. Where a vendor does not publish pricing, the cell says so rather than estimating. Fonteum names no figure it cannot source to a federal record.

What Fonteum does differently

The audit-defensible exclusion screen, built on the federal record

Compromised-anywhere, not single-list

A federal-only screen misses a provider excluded by a single state Medicaid program who has since relocated. Fonteum screens OIG LEIE, SAM.gov, and 17 state Medicaid lists together, and flags OIG Corporate Integrity Agreements and CMS civil money penalties as a separate monitoring layer.

Signed attestation an auditor can re-derive

CMS expects you to show which list you screened against, on what date, and the matched record. Fonteum's attestation is an Ed25519-signed, hash-chained document — the screening basis is the federal file itself, re-derivable, not a black-box result.

Open data, transparent pricing

The /sanctions surface and the underlying federal lists are free, because the source records are public works. You pay only for roster scoping, throughput, and the FHIR API — at a published price, not a quote.

FAQ

Common questions

How is Fonteum different from ProviderTrust?: ProviderTrust is a healthcare compliance company that sells continuous exclusion, sanction, and license monitoring as a demo-led enterprise platform. Fonteum is the source-provenanced data layer beneath that job: it screens a roster against the OIG LEIE, SAM.gov, and state Medicaid exclusion lists, and returns a signed, hash-chained attestation in which every match traces to its federal source file, snapshot date, and methodology version. The boundary is real — ProviderTrust runs ongoing compliance workflow; Fonteum makes the underlying screening basis traceable to the federal record and prices it transparently.
What lists does Fonteum screen against?: Fonteum screens against the (federal healthcare exclusions), SAM.gov (federal debarment), and 17 state Medicaid exclusion lists, combined into a single “excluded-anywhere” signal. A separate “compromised-anywhere” layer surfaces OIG Corporate Integrity Agreements and CMS civil money penalties — active federal monitoring short of exclusion. Every match carries its source URL, dataset id, and snapshot date.
What does a Fonteum attestation contain?: Each roster screen produces an Ed25519-signed, hash-chained PDF listing every provider screened, the lists checked, the snapshot date of each list, any match found, and the methodology version. Because the signature chains to a published key and the source records are public federal files, an auditor can re-derive the result end to end rather than trusting a vendor's clean-or-excluded verdict.
Does Fonteum publish pricing?: Yes. The public sanctions surface and the underlying federal lists are free. The production pilot is published as a flat range ($2,500–$5,000/mo) with a 90-day term and a 30-day no-penalty exit. ProviderTrust does not publicly list pricing; access is quote-gated through a sales demo. See /pricing for tier detail.
Can Fonteum integrate with our credentialing system?: Yes. Beyond the free downloads, the pilot exposes exclusion data through a FHIR R4 US Core API with SMART Backend Services auth and HL7 bulk export. The exclusion signal rides on the resource with its federal source citation, so a credentialing or payer-integrity platform can pull status on a schedule and keep the source citation for its audit trail. Fonteum supplies the traceable data; it does not run your re-credentialing calendar.
How often does CMS require exclusion screening?: The OIG recommends screening employees and contractors against the LEIE monthly, because the list is updated monthly and the civil monetary penalty for employing an excluded person accrues per item or service. Fonteum aligns each list's refresh to the source cadence and stamps every match with the snapshot date, so a monthly screen is documented against the exact federal file in force that month. See the exclusion-screening guide.

Request access

Screen your roster against every list — free.

Upload your provider roster and get a free same-day full-roster screen across OIG-LEIE + SAM + all 17 state Medicaid lists, plus a signed attestation PDF. No PHI, no demo.