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BackBeam Network — Sample Report Package · Prepared by BackBeam Network LLC For illustrative purposes only. Provider data is fictional.
Purpose of this document: This report is intended to serve as a documented record of provider credential monitoring for compliance, underwriting, and legal review purposes. It is produced by BackBeam Network LLC pursuant to the BackBeam 7-Point Primary Source Verification Standard v1.0.
All verification is conducted directly against primary source databases — OIG, SAM.gov, NPDB, state licensing boards, CMS NPI Registry, DEA Diversion Control Division, and applicable certifying boards. Each check is documented with source, date, and result. BackBeam's role is to create a consistent, repeatable record of monitoring. Clients remain responsible for all hiring, credentialing, and compliance decisions.
All Clear — No Adverse Findings
Client
Glow Studio MedSpa
Atlanta, Georgia
Reporting Period
April 2026
Cycle 04 of 12
Report Generated
April 7, 2026
Providers Monitored
3 of 3 Active
Subscription Tier
Standard — $399/mo
Provider Verification Records BackBeam 7-Point PSV Standard v1.0
Dr. Jennifer Caldwell, MD
Medical Director Board-Certified Dermatologist Georgia License #MD-048821 NPI 1234567890
All Clear
Verification Element Source Date Checked Detail Result
01
State Medical License
Georgia Composite Medical Board
04/02/2026
License #MD-048821 · Active · Exp. 12/31/2027
Active — Clear
02
OIG Exclusion Status
HHS OIG LEIE
04/02/2026
Name + NPI search · No match confirmed
No Match
03
Federal Debarment
GSA SAM.gov Exclusions
04/02/2026
Name + NPI search · No match confirmed
No Match
04
NPDB History
HRSA National Practitioner Data Bank
04/02/2026
Continuous query · No new report generated
No Report
05
NPI Registry Status
CMS NPPES Registry
04/02/2026
NPI 1234567890 · Active · Taxonomy: 207N00000X
Active
06
DEA Registration
DEA Diversion Control Division
04/02/2026
DEA #AO4821765 · Active · Schedules II–V · Exp. 06/30/2027
Active
07
Board Certification
ABMS · CertificationMatters.org
04/02/2026
American Board of Dermatology · Certified · Exp. 2029
Current
Sarah Mitchell, NP-C
Nurse Practitioner — Injector Georgia License #NP-112204 NPI 0987654321
All Clear
Verification Element Source Date Checked Detail Result
01
State Professional License
Georgia Board of Nursing
04/02/2026
License #NP-112204 · Active · Exp. 01/31/2028
Active — Clear
02
OIG Exclusion Status
HHS OIG LEIE
04/02/2026
Name + NPI search · No match confirmed
No Match
03
Federal Debarment
GSA SAM.gov Exclusions
04/02/2026
Name + NPI search · No match confirmed
No Match
04
NPDB History
HRSA National Practitioner Data Bank
04/02/2026
Continuous query · No new report generated
No Report
05
NPI Registry Status
CMS NPPES Registry
04/02/2026
NPI 0987654321 · Active · Taxonomy: 363L00000X
Active
06
DEA Registration
DEA Diversion Control Division
04/02/2026
No DEA registration on file for this provider
N/A
07
Board Certification
ANCC Certification Verification
04/02/2026
ANCC Family NP-C · Certified · Exp. 2028
Current
Ryan Holt, PA-C
Physician Assistant Georgia License #PA-088341 NPI 1122334455
All Clear
Verification Element Source Date Checked Detail Result
01
State Professional License
Georgia Composite Medical Board
04/02/2026
License #PA-088341 · Active · Exp. 09/30/2026
Active — Clear
02
OIG Exclusion Status
HHS OIG LEIE
04/02/2026
Name + NPI search · No match confirmed
No Match
03
Federal Debarment
GSA SAM.gov Exclusions
04/02/2026
Name + NPI search · No match confirmed
No Match
04
NPDB History
HRSA National Practitioner Data Bank
04/02/2026
Continuous query · No new report generated
No Report
05
NPI Registry Status
CMS NPPES Registry
04/02/2026
NPI 1122334455 · Active · Taxonomy: 363A00000X
Active
06
DEA Registration
DEA Diversion Control Division
04/02/2026
DEA #BW2219834 · Active · Schedules III–V · Exp. 11/30/2027
Active
07
Board Certification
NCCPA Verification
04/02/2026
NCCPA PA-C · Certified · Exp. 2028
Current
Monthly Summary — April 2026
3
Providers Monitored
21
Total Checks Performed
21
Clear / No Match / N/A
0
Adverse Findings
All Clear — April 2026. BackBeam completed 21 primary source verification checks across 3 enrolled providers at Glow Studio MedSpa. No adverse findings were identified. All provider licenses, federal standing, and certifications are confirmed active and in good standing as of the date of this report. This report is part of Glow Studio MedSpa's ongoing compliance file maintained by BackBeam Network under the BackBeam 7-Point PSV Standard v1.0. Note: Provider Webb's Georgia PA license expires 09/30/2026. BackBeam will issue a renewal reminder in July 2026.
BackBeam Network LLC
Report ID: BBN-2026-04-LMS-001 · Generated: 04/07/2026
BackBeam 7-Point PSV Standard v1.0 · methodology: zenodo.org/backbeam
Verified · BackBeam Network
Appendix — Adverse Finding Alert Example
Adverse Finding Alert
Alert Type
OIG Exclusion Match
Client
Glow Studio MedSpa
Atlanta, Georgia
Alert Issued
April 7, 2026 — 10:14 AM ET
Alert ID
BBN-ALERT-2026-04-007
Finding Details — Confirmed Adverse Result
Provider Name
Dana Prescott, RN
Finding Type
OIG Exclusion — Confirmed Match
Source
HHS Office of Inspector General
List of Excluded Individuals/Entities (LEIE)
Exclusion Date
March 15, 2026
Verification Method
Name search + NPI 5544332211 — both confirmed match
Discovery Date
April 7, 2026 — 09:52 AM ET
Context & Significance

BackBeam identified an OIG exclusion match for Dana Prescott, RN during the April 2026 monthly monitoring cycle. The exclusion was confirmed by cross-referencing both the provider's full legal name and NPI number against the OIG LEIE database. Both searches returned a confirmed match. This is not a false positive.

An OIG exclusion means this provider is barred from participation in Medicare, Medicaid, and all federal healthcare programs effective March 15, 2026. Under 42 U.S.C. §1320a-7a, employing or contracting with an excluded provider — even unknowingly — exposes your organization to Civil Monetary Penalties. This finding requires immediate attention.

BackBeam is issuing this alert within one business day of discovery, consistent with our adverse finding protocol. This alert does not constitute legal advice. We strongly recommend you contact qualified healthcare legal counsel before taking any action regarding this provider.

Recommended Immediate Actions
01
Do not allow this provider to perform services until the matter is reviewed by qualified legal counsel. Continued employment of an excluded provider creates ongoing Civil Monetary Penalty exposure.
02
Contact healthcare legal counsel immediately. Your attorney should advise on your obligations, disclosure requirements, and appropriate next steps under applicable law.
03
Notify your malpractice carrier. Your insurance broker should be informed of this finding. Failure to disclose a known compliance event may affect your coverage.
04
Preserve all documentation. This alert, the OIG search results, and any related records should be retained. BackBeam has filed this alert in your compliance log.
05
BackBeam will follow up. We will confirm receipt of this alert and remain available to provide additional documentation to support your legal counsel's review.
This alert is issued by BackBeam Network LLC pursuant to the BackBeam 7-Point Primary Source Verification Standard and the Master Services Agreement governing the BackBeam engagement with Glow Studio MedSpa. This document does not constitute legal advice. BackBeam Network LLC is not a law firm. The recommended actions above are operational guidance only. All legal decisions should be made in consultation with qualified healthcare legal counsel. This alert has been filed in Glow Studio MedSpa's BackBeam compliance log and will be retained for seven years.
BackBeam Network LLC
Alert ID: BBN-ALERT-2026-04-007 · Issued: 04/07/2026 10:14 AM ET
BackBeam 7-Point PSV Standard v1.0 · backbeamnetwork.com
Adverse Alert · BackBeam Network