Commercial Healthcare Services

NCCI Commercial Healthcare Services verifies provider locations and operational status for health plans, helping them keep directories accurate and reduce fraud.

What We Do for Commercial Healthcare

  • GEO-tagged on-site provider verification.
  • Directory comparison and address discrepancy reporting.
  • Detection of non-operational or inactive practice locations.
  • Six-Step Verification Process: Request, Representative Routing, On-Site Check, Evidence Capture, Quality Review, Report Delivery.

Services in This Industry

  • Provider Directory Verification: NCCI Provider Directory Verification visits provider locations to confirm address, practice name and operating status match the health plan's directory.
  • Business Verification Inspections: A business verification inspection confirms, with photos and a written report, that the business actually exists and operates there.

What You Receive

A valuable report listing what was found at each location, with supporting photos, GPS location, and date-time stamped evidence.

Frequently Asked Questions

What problems do these visits find?

Common findings are closed locations, wrong addresses, inactive practices, and directory data that does not match the site visit.

Is the process documented?

Yes. Each visit is GPS-location stamped, date-time stamped, and quality-reviewed before delivery to the client.

NCCI Services (National Creditors Connection, Inc.) has been operating since 1992, with 1,000+ professionals in all 50 states and Puerto Rico. SOC 1 Type 2. Call Us Today (800) 300-0743.