Certified Provider Credentialing Specialist Showdown 2025 – Master the CPCS with Confidence!

Question: 1 / 400

Can medical malpractice payers query the NPDB?

Yes

No

Medical malpractice payers are entities that provide coverage for healthcare professionals against claims of malpractice. The National Practitioner Data Bank (NPDB) serves as a repository of information regarding malpractice payments, adverse actions, and other relevant data related to healthcare providers.

The correct answer is that medical malpractice payers cannot query the NPDB. This restriction is in place to protect the privacy and confidentiality of healthcare providers and the information held within the database. Access to the NPDB is limited to specific entities that have a legitimate need to obtain information about providers, such as licensing boards, hospitals, and peer review organizations.

This means that while other entities can submit reports to the NPDB regarding malpractice payments, medical malpractice payers themselves do not have the authority to conduct queries on the database. This regulation helps maintain the integrity of the information and ensures that it is only accessed by those who are legally entitled to it.

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Only under specific conditions

Only if the provider agrees

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