Established in 1992, NCCI’s services continue to deliver nationwide actionable data through our proprietary platform to create the highest return on investment for our clients. Like our clients, we care greatly about headline, reputational, compliance, and regulatory risk. We are licensed, bonded, and certified. We partner with and collaborate with our clients, never taking a one-size fits all approach
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Commercial Healthcare
Provider Data Accuracy & Fraud Prevention
Helping healthcare organizations identify inaccurate provider information, validate operational locations, reduce fraud risk, and improve provider network visibility nationwide.
Common findings include:
Who We Support
Supporting health plans, provider networks, and enterprise healthcare operations with nationwide field verification, directory accuracy, and operational visibility.
NCCI helps health plans validate provider locations, confirm operational status, identify directory discrepancies, and maintain greater visibility across provider networks.
Identify outdated, inaccurate, or inconsistent provider location information.
Confirm whether provider locations are open, active, and operating as represented.
Receive geo-tagged photos, structured findings, and documented field observations.
Improve visibility across distributed provider locations and service areas.
How It Works
A structured field verification process designed to validate provider locations, identify discrepancies, and support provider network accuracy.
Location status, accessibility, signage, and provider information reviewed.
Field representatives document location status, accessibility, signage, hours of operation, and on-site observations to help confirm whether provider information matches field conditions.
Operational status observed and documented.
Business signage, suite access, and address details reviewed.
Accurate Provider Data · Operational Visibility · Stronger Network Performance
Provider directories change constantly.
Independent verification helps identify outdated or inaccurate provider information.
Network records don't always reflect field conditions.
On-site verification confirms providers are operating as represented.
Location discrepancies can impact network effectiveness.
Field validation helps uncover operational risks before they affect members.
Members rely on accurate provider information.
Verified provider data supports access to care and a better member experience.
OPERATIONAL STATUS VERIFICATION
Provider directories and network records do not always reflect actual site conditions. Independent field verification helps identify inaccurate provider data, operational discrepancies, and network risks before they impact members and provider operations.
Verified
Operational. Accessible. Confirmed.
Confirms provider locations are operational, accessible, and consistent with network records — supporting directory accuracy, member access, and provider network performance.
Directory Accuracy. Member Access. Network Performance.
Accurate provider information helps health plans maintain reliable provider directories, support member access initiatives, and improve network data quality.
Risks
Directory Accuracy. Provider Access. Member Experience.
Independent field verification helps identify discrepancies before they impact provider data accuracy, network performance, and member experience.
Member Experience. Data Accuracy. Operational Efficiency.
Unidentified provider discrepancies can impact member experience, provider data accuracy, operational efficiency, and overall network performance.
HEALTHCARE LOCATIONS WE VERIFY
Independent field verification helps uncover location discrepancies, operational changes, and network risks across diverse healthcare settings.
Closed Locations · Address Discrepancies · Operational Status Changes · Directory Inaccuracies
VERIFICATION FINDINGS & REPORTING
Every verification is delivered as a structured operational report combining geo-tagged photography, field observations, and directory comparison in a single audit-ready record.
Every Verification
Includes
Location Status
Geo-Tagged Photography
Directory Comparison
Signage Confirmation
Hours Verification
Structured Reporting
Location Verification Report
1240 Palmetto Dr.
GPS Coordinates
37.7749° N, 122.4194° W
Date & Time
Jun 10, 2026 | 10:42 AM
Audit-Ready
Consistent, secure, and ready when you need it.
Independent field verification helps Commercial healthcare organizations identify location discrepancies, operational changes, and provider network risks — before they become directory failures.
SECURE VERIFICATION PLATFORM
Verification requests, field findings, provider location status, and operational reporting are managed through a single secure platform built for enterprise healthcare operations.
Accurate Data. Operational Confidence. Better Outcomes.
A Trusted Extension of Your Team
Independent field verification provides the visibility healthcare organizations need to maintain accurate provider data. Think of NCCI as your eyes and ears in the field—validating provider locations, identifying discrepancies, and documenting what provider records alone can't reveal.
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