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How to Elevate a Report to Dispute Resolution

If your report has been in dispute status for 60 days and you are not satisfied with the outcome, you may elevate the report to dispute resolution. If you have not yet disputed the report in question, see How to Dispute a Report for more information.

Dispute resolution is a request for the secretary of the U.S. Department of Health and Human Services to review the report. The secretary delegates the Division of Practitioner Data Bank of the Health Resources and Services Administration to conduct this review in the order in which they are received. The Division of Practitioner Data Bank is responsible for oversight of the NPDB.

The law strictly limits our jurisdiction for reviewing disputed reports. We can only review if the report was submitted in accordance with reporting requirements, if the reporting organization is eligible to report the information, and if the report accurately depicts the action taken by the reporting organization and basis for the action in the organization's written record. Any other issue must be resolved between you and the reporting organization.

Note: If you receive written communication within the 60 day waiting period that the reporting organization refuses to correct or void the report, you may ask us to elevate the report immediately to dispute resolution.

To Elevate a Report to Dispute Resolution

  1. On the home page, select Sign in to View Your Report.
  2. On the Sign In with a Report Number page, enter the report number and password, then select Sign In.
  3. On the Practitioner Identification page, enter your date of birth and your SSN or ITIN, then select Continue.
  4. On the Report Response Options page, select Request Dispute Resolution.
    Note: This link only appears after the report is in dispute status for 60 days.
  5. On the Request Dispute Resolution page, read the information carefully before selecting I Request Dispute Resolution.
  6. Review the list of what is and is not considered supporting documentation. By selecting Continue, you confirm that your dispute is not out of scope.
  7. Select the reason for requesting the review, and attach documentation that proves your attempt to resolve the issue with the reporting organization.
  8. Add up to seven points of dispute and attach supporting documentation.
  9. Complete the Certification section (your name, title, and phone number) and select Continue.
  10. Print the Request for Dispute Resolution document and mail the original signed and dated copy of the document.
    Note: Attorneys representing subjects of reports must include a power of attorney letter in order to speak with us on behalf of the subject of the report.

If you did not electronically attach all documentation during steps 6 and 7 above, you may send (by mail, fax, or email) the following:

  • Documentation substantiating that the reporting organization's information is inaccurate must be submitted. The documentation must be 20 pages or fewer.
  • Proof that you attempted to resolve the disagreement with the reporting organization, over a period of 60 days, and that it was unsuccessful. For example, a copy of any correspondence you have with the reporting organization and their response.

Please remember

The dispute resolution process does not include reviewing the following:

  • The underlying reasons for the report, such as the merits of a medical malpractice claim or the appropriateness of, or basis for, other types of reports.
  • The extent to which entities followed due process procedures. Due process issues must be resolved between the subject and the reporting organization.

Late reporting does not constitute grounds for disputing a report. Although eligible entities must report medical malpractice payments and other reportable actions within 30 calendar days of the date the action was taken or the payment was made, an organization's failure to do so does not preclude us from collecting such a report beyond the 30-day time frame. Issues of timely reporting are handled through the NPDB's compliance program.