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Overview Submitting Reports to the NPDB Reporting Medical Malpractice Payments Reporting Adverse Clinical Privileges Actions Reporting Adverse Professional Society Membership Actions Reporting State Licensure and Certification Actions Reporting Federal Licensure and Certification Actions Reporting Peer Review Organization Negative Actions or Findings Reporting Private Accreditation Organization Negative Actions or Findings Reporting Exclusions from Participation in Federal or State Health Care Programs Reporting Federal or State Health Care-Related Criminal Convictions Reporting Health Care-Related Civil Judgments Reporting Other Adjudicated Actions or Decisions

Q&A: Subjects of Reports

  1. Can eligible entities submit reports on navigators, who are trained to provide assistance to individuals and companies looking for health care coverage through marketplaces created by the Patient Protection and Affordable Care Act of 2010?

    It depends on the reporting entity. For example, several states regulate navigators as suppliers of health care, and those boards would report licensing and certification actions taken against navigators. In general, the following types of entities may file reports with the NPDB against health care suppliers: health plans, private accreditation organizations, state licensing and certification authorities, state law enforcement agencies, state Medicaid fraud control units, state agencies administering or supervising the administration of state health care programs, state prosecutors, federal agencies, and federal prosecutors.

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