Finding 00848 - Payment to OIG-excluded provider
JIL-FND-RV-B9E4D3C2-00848
Individual sub-record of parent audit JIL-VR-RV-2026-04-19-B9E4D3C2
SAMPLE - FICTITIOUS SUBJECT DATA
0 - Identifiers and retention
Sub-record identifiers
- Finding ID
- JIL-FND-RV-B9E4D3C2-00848
- Parent Audit ID
- JIL-VR-RV-2026-04-19-B9E4D3C2
- Sequence
- 00848 of 1,247
- Category
- Payment to OIG-excluded provider
- Identity dimension
- FWEA-51 NPI status + LEIE exclusion date check
- Data source
- HHS OIG LEIE
- Storage
- Inherited from parent (HHS OIG SDV endpoint, vendor-controlled, 15+ year retention)
- Retrieval
- GET /api/v1/verdicts/JIL-FND-RV-B9E4D3C2-00848
- Content hash (SHA-256)
- 40f67a8f1feca9fc7b91a72186b4718888871be1688ae358af03e279d86f003e
1 - Subject payment
The specific payment flagged
- Payment date
- 2024-06-29
- Payee (redacted)
- Redacted Radiology I
- Payee NPI
- NPI 1234567908
- Payee state
- GA
- Amount
- $1,176.00 USD
- Rail
- CMS Medicare Part B (fee-for-service)
- Region
- Region 04 (FL/GA/AL)
- Original claim ID
- REDACTED-0000000848
4 - Check matrix (scoped to this payment)
28-dimension identity integrity check trail
Each check ran against the specific payee + payment-date combination. Only the dimension that triggered the finding is shown HIT; others are shown PASS (or N/A where not applicable).
| Check ID | Dimension | Method | Source | Result | Evidence Hash |
|---|---|---|---|---|---|
| DIM-01 | SSA DMF (Death Master File) | Date-of-death lookup vs payment date | SSA DMF (daily feed) | PASS | 6c28dd8688580633... |
| DIM-02 | State vital records (death) | Cross-reference with state-level vital stats | FL/GA/AL vital records | PASS | 67932146dfa6d2ab... |
| DIM-03 | CMS provider deactivation | PECOS revocation status vs payment date | CMS PECOS | PASS | 72509961ccf245cc... |
| DIM-04 | HHS OIG LEIE exclusion | Exclusion-date vs payment-date date comparison | HHS OIG LEIE | HIT | e634d4b7891f0d2c... |
| DIM-05 | SAM.gov exclusions | Federal debarment check against payee entity | SAM.gov | PASS | bcc4502edfee4079... |
| DIM-06 | NPI registration active (NPPES) | NPI record lookup and activation status | NPPES | PASS (NPI active at payment date) | 7bcce06ef6b1b06f... |
| DIM-07 | State licensing board | License active + in-good-standing check | State medical boards | PASS | 8abfe92f9dc28c3f... |
| DIM-08 | DEA registration | DEA registration number + schedule authority | DEA | N/A (payment is not for controlled substances) | fb3de72a9d4c1efe... |
| DIM-09 | SOS (State-of-Secretary) business status | Entity formation and dissolution check | FL/GA/AL SoS | PASS (entity in good standing) | 7181a69027f82f42... |
| DIM-10 | Address verification (payee) | Address match against registered provider record | USPS + CMS PECOS | PASS | c61f7cf0bf95540f... |
| Dimensions DIM-11 through DIM-28 are included in the sealed sub-record but truncated in this summary view for readability. All results PASS unless otherwise indicated. Full 28-row matrix in the downloadable sealed PDF. | |||||
5 - Disposition
Finding verdict
Attested Disposition
IMPROPER PAYMENT IDENTIFIED
Category: Payment to OIG-excluded provider
Dollar exposure: $1,176.00 (recoverable under Full recovery per OIG exclusion authority)
Primary dimension: FWEA-51 NPI status + LEIE exclusion date check
Recovery path: intake-ready for DOJ Civil Division OR referring to HHS OIG CMS ZPIC for Medicare Part B recovery proceedings. Evidence chain sealed per FRE 702 / 901.
6 - Cryptographic seal
Finding-level seal
- Finding content hash (SHA-256)
- 40f67a8f1feca9fc7b91a72186b4718888871be1688ae358af03e279d86f003e
- Ed25519 signature (over finding content + parent audit ID)
- a93979eb5c85a41e02b842f55202f380435529c8a413f5618c2df5604fffe540
- ML-DSA-65 signature (post-quantum hybrid)
- 05d4176451f1f8a57491baf54874408cb6d845ac78ad1b39147308a4ec8b1458
- Contribution to parent Merkle root
- leaf position 848, evidence hash above
- Parent audit court anchor
- Block #892,415 - Tx 0xbc123456789012345678901234567890123456789012345678901234567890f
- Signer quorum
- Inherited from parent (hybrid signature across independent timestamp anchors)
- Tamper evidence
- Any modification to this finding record invalidates the parent audit's Merkle root. Independently verifiable by recomputing SHA-256 of the finding content and verifying against the leaf hash stored at position 848 of the parent's rollup.
7 - Chain of custody
When this specific finding was sealed
- Identity lookup
- 2026-04-19 09:14:38 UTC
- Check dispatched
- 2026-04-19 09:14:41 UTC (parallel with 49.87M records)
- Dimension hit recorded
- 2026-04-19 09:30:11 UTC
- Finding sealed
- 2026-04-19 09:31:22 UTC (Ed25519 + ML-DSA-65 signatures)
- Merkle leaf committed
- 2026-04-19 09:31:38 UTC (leaf position 848 of rollup)
- Parent audit anchored
- 2026-04-19 09:31:47 UTC (block #892,415)
- Sub-record delivered to vendor SDV
- 2026-04-19 09:31:49 UTC