The Data Reveals Patterns, Not Anomalies

Of the 144 payer networks analyzed, 89% (128 networks) carried at least one currently excluded provider. Only 11% (16 networks) had zero exclusions of any kind. Every single network, all 144, carried at least one license status issue, license board action, or controlled substance registration issue.

This is the context for everything that follows. These gaps aren't concentrated in a handful of poorly run plans; they show up almost everywhere, regardless of network size or payer category. If the gap were rare, a periodic check might eventually catch it. But at this scale, waiting for the next credentialing cycle isn't a safe approach.