Enter the domain
No login, no scan, no contact with the counterparty. Passive historical observation only.
Real clinical operations leave a decade-long trail across the internet. Billing shells leave a template page and a TLS certificate. The difference is visible from the outside, before the first shift is worked.
WHAT YOU CANNOT SEE FROM PAPERWORK
A shell operation supplies exactly the documents you ask for. It has an NPI, because NPIs are free and issued on application. It has an address, a tax ID, and a signature on your agreement. Nothing in that packet distinguishes it from a practice that has been treating patients since 2009.
What it does not have is history. It cannot manufacture ten years of observed technology on a domain, and it has no reason to buy a patient portal for patients it does not intend to see.
WHAT THE WEB SHOWS
Web operating history is the strongest. BuiltWith has observed the public internet longitudinally for over two decades, so a domain's first-observed date is an operating record, not a WHOIS field that can be reset by re-registering.
Then the patient pathway: booking, patient portal, EHR, telehealth. An organisation that bills for care but gives patients no way to reach it is the core pattern. Then commercial infrastructure, footprint depth, and how recently the NPI was enumerated in the CMS registry.
HOW IT RUNS
No login, no scan, no contact with the counterparty. Passive historical observation only.
Each signal shows what was observed, what it contributes to the score, and why it matters.
The CMS NPPES record for the entity: enumeration date, status, and primary taxonomy.
Verify the operating entity before staff start or invoices are paid. The decision stays yours.
QUESTIONS BUYERS ACTUALLY ASK
No, and the product will never say it is. A score is a web-footprint observation about a business. Plenty of legitimate small practices have thin websites, which is why sparse evidence is reported as "insufficient evidence" rather than as suspicion.
Never. Every signal comes from passive, historical observation of the public web plus two Federal registries. Nothing touches the counterparty's infrastructure.
Buying a patient portal, running years of observable web history, and maintaining commercial infrastructure costs more than most shells are set up to spend, and history in particular cannot be backdated. It raises the cost of looking real, which is the point.
Every signal shows its underlying observation, so you can check our reasoning rather than trust it. Re-run the check after the footprint changes and the score moves with the evidence.
RECOMMENDED PLAN · OPERATOR
Run a counterparty check free, then put your roster on a screening cadence that produces the evidence.