Who Needs This
Commercial and Medicare Advantage health plans, networks, credentialing organizations and payers.
How It Works
- The plan sends a list of providers and addresses.
- A professional representative visits each location.
- Operating status, signage, suite or address discrepancies and whether the practice appears active are recorded.
- Photos and GEO date-time stamped evidence are provided.
- The plan receives a Verification Report to update its directory or investigate.
What You Receive
A location-level report that shows what was found, with photos, so the plan can correct or remove inaccurate listings.
What NCCI does not do
NCCI verifies locations. It does not rule on credentialing or network participation.
Frequently Asked Questions
What are ghost networks?
Directories that list providers who are unavailable, not at the listed address or not accepting patients. Provider Directory Verification checks the physical location.
What do visits typically find?
Closed locations, wrong addresses, inactive practices, and data that do not match.
Can this be done on a recurring schedule?
Yes. Plans can order periodically or request rolling verification.
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.