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How to Elevate a Report to Dispute Resolution

The regulations governing the NPDB give the Secretary of Health and Human Services the authority to review, at the request of the subject of a report, the accuracy of NPDB reports. This authority has been delegated by the Secretary to the Division of Practitioner Data Bank (DPDB) of the Health Resources and Services Administration.

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.

Note: During the 60 days of Dispute Status (during which the subject of the report attempts to resolve the dispute with the reporting entity), the reporting entity may tell the subject of the report in writing that it refuses to correct or void the report. If the subject of the report receives written communication, the subject may ask the NPDB to elevate the report immediately to Dispute Resolution, without waiting the full 60 days.

To Elevate a Report to Dispute Resolution

  1. On the NPDB homepage, select Check Your Report.
  2. On the Sign In with a Report Number page, enter the report number and password, then select Sign In.
  3. Read the information on the Rules of Behavior page, check the box to acknowledge the rules, and select Continue.
  4. On the Practitioner Identification page, enter your date of birth and/or your SSN/ITIN. Select Continue.
  5. 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.
  6. On the Request for Dispute Resolution page, select the reason for requesting the review under the Resolution Attempt section. Attach documentation to provide proof that resolution with the reporting entity was attempted.
  7. Enter your Point(s) of Dispute, attaching any supporting documentation.
  8. Verify your information, complete the Certification Data (your name, title, and phone number), and select Continue.
  9. On the Request for Dispute Resolution page, read the instructions carefully and select Continue.
  10. Print the Request for Dispute Resolution document and mail the original signed and dated copy of the document to the NPDB.
    Note: Attorneys representing subjects of reports must include a power of attorney letter in order to speak with the NPDB on behalf of the subject of the report.
  11. 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 entity's information is inaccurate must be submitted. The documentation should be 20 pages or fewer.
    • Proof that you attempted to resolve the disagreement with the reporting entity, over a period of 60 days, and that it was unsuccessful. For example, a copy of any correspondence you have with the reporting entity, and their response.
  12. Select Return to Report Response Options to view your Dispute Resolution Progress, view your Activity History, or reply to an NPDB message.

Please remember

The Dispute Resolution process does not include reviewing:

  • 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 entity.

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