We monitor your book. You get the alerts.
MPL carriers face significant blind spots in monitoring their insured providers
License suspensions, OIG exclusions, and board actions often go undetected for weeks or months, exposing carriers to preventable claims.
Underwriting teams spend countless hours manually checking multiple databases for each provider renewal and new application.
Critical risk signals are scattered across federal databases, state medical boards, and regulatory agencies with no unified view.
Most carriers learn about provider issues after claims are filed, not before risk can be mitigated or policies adjusted.
A managed monitoring service. We do the work; you get the intelligence.
Provide your provider list via CSV. We match against NPI, name variations, and credentials.
We check federal sources and all 50 state medical boards every day, matching events to your providers.
Weekly email with findings and analysis. Immediate alerts for critical issues. Monthly PDF summary.
Send us your roster and we'll run a free 24-month audit. You'll see real regulatory actions involving your providers—before you commit to anything.
Comprehensive coverage across federal and state regulatory databases—updated daily
Federal exclusions list
Federal debarment
Controlled substances
HIPAA violations
Healthcare fraud cases
Industry payments
APRN/CRNA Board
Board of Nursing
Board of Nursing
State Board of Nursing
Every year, thousands of providers face regulatory actions. How many touch your book?
New federal exclusions from Medicare, Medicaid, and all federal health programs
License revocations, suspensions, and surrenders across all 50 state medical boards
Major disciplinary actions reported to the National Practitioner Data Bank each year
How many of your insured providers have active restrictions, exclusions, or board actions you don't know about?
One missed exclusion can mean a policy you never should have written—and a claim you can't defend. OIG penalties alone can hit $20,000 per claim plus 3x damages.
What continuous monitoring adds to your current process
| Capability | Typical Process Today | With NimbusRisk |
|---|---|---|
| License verification | At application & renewal | ✓ Continuous — daily monitoring |
| OIG exclusion checks | Periodic / manual | ✓ Real-time alerts |
| State board actions | Spot checks or none | ✓ All 50 states monitored |
| DEA registration | Rarely checked mid-term | ✓ Monitored daily |
| HIPAA breaches | Not typically monitored | ✓ HHS breach portal |
| When issues surface | At renewal — or after a claim | ✓ Within days of action |
Point-in-time checks tell you a provider was clean when you looked. Continuous monitoring tells you when something changes — before it becomes a claim.
The math is simple: catching one excluded provider pays for years of monitoring
| Capability | Hire a Compliance Analyst | DIY Software | NimbusRisk |
|---|---|---|---|
| Annual cost | $60–100KSalary + benefits + overhead | $40–80KLicense + staff time to operate | ✓ Starting at $60K/yearPaid pilot available |
| Your time investment | Hiring, training, managing | Implementation + daily use | ✓ Send roster, read reports |
| Time to value | 3–6 months to hire + train | 2–6 months to implement | ✓ First report in days |
| Coverage | Limited by bandwidthOne person can only check so much | Varies by vendor | ✓ All 50 states + 6 federal sourcesEvery provider, every day |
| What you get | Depends on individual | Raw data to interpret | ✓ Analyzed findings + recommendations |
| Cost of missing one | Penalties + undefendable claims | Penalties + undefendable claims | ✓ Caught before it's a claim |
Annual monitoring starts at $60K/year. Settlements involving excluded providers have reached into the millions. OIG penalties alone can hit $20K per claim plus 3x damages. Catching just one pays for itself many times over.
Send us your roster. We'll run a 24-month historical audit and show you exactly what we find. No sales pitch—just data.