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AdminsNPPES Integration

NPPES Database Integration

Juno integrates with the National Plan and Provider Enumeration System (NPPES) to provide automated healthcare professional validation and Sunshine Act compliance for healthcare organizations.

What is NPPES?

The NPPES database is the official CMS repository for National Provider Identifier (NPI) data. NPIs are unique 10-digit identifiers for healthcare providers under HIPAA.

Key Features

  • Real-time NPI validation against the official CMS database
  • Automated provider data collection including names and credentials
  • Sunshine Act compliance support for pharmaceutical and medical device companies
  • Custom field integration with validation and conditional logic
  • Compliance reporting with audit trails and data aggregation

How It Works

Enable NPI Custom Field

Configure NPI validation fields in your organization settings. You can make these fields required and enable real-time validation feedback.

Healthcare Professionals Enter NPIs During Onboarding

When healthcare professionals register or update their profiles, they’re prompted to enter their NPI. Juno validates it against NPPES, confirming credentials and retrieving official name and status.

NPI Data Available for Compliance Reporting

Once validated, NPI information is available across reporting features, enabling automated Sunshine Act compliance reports and accurate provider identification.

Sunshine Act Compliance

The Physician Payments Sunshine Act requires reporting of payments to healthcare professionals. Juno supports compliance by:

  • Ensuring valid NPIs for all healthcare professionals
  • Tracking travel-related value transfers
  • Calculating accurate payment values
  • Generating detailed transaction-level reports with complete audit trails

Setup and Implementation

Configuration Steps

  1. Enable NPI custom fields in your organization
  2. Add NPI fields to onboarding forms
  3. Configure conditions for when the NPI field is required

System Monitoring

Juno monitors NPPES integration health, including API availability, response times, and error rates. Automatic alerts notify you of any service interruptions.

For setup assistance or compliance questions, contact your Juno account manager.

⚠️

Consult your legal and compliance teams to ensure proper implementation of Sunshine Act requirements.

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