Accountable vs Harper
Checked against their own pages, October 2026
A HIPAA compliance platform for smaller healthcare organizations that includes federal exclusion screening in its paid plans. Harper is a free search across the HHS OIG LEIE, SAM.gov and every state Medicaid exclusion list it can read, with the source and freshness of each list published. Below is what each says about its own coverage, with links to where they say it.
Side by side
| Accountable | Harper | |
|---|---|---|
| State Medicaid lists | Says state-specific exclusion lists are not yet included.Source: Federal exclusion screening | Every state that publishes a list: 43 of the 50 states and DC, each named with its record count and last read date. 40 read successfully on our latest run, as of October 14, 2026. |
| Federal and other lists | The HHS OIG LEIE.Source: Federal exclusion screening | HHS OIG LEIE (84,030 records) and SAM.gov exclusions (169,028), as of October 14, 2026. No CMS Preclusion List, Medicare Opt-Out or Death Master File. |
| Refresh | Screening runs monthly.Source: Federal exclusion screening | Every source is read weekly, and the date of the last successful read is published per source. |
| Price | Included in its paid plans. | Free. |
| Free name search | Screening is available inside its paid plans rather than as a free public search.Source: Federal exclusion screening | Yes. Any name, no account, plus an API and an MCP server for AI assistants. |
Where Accountable offers more
- Exclusion screening sits inside a wider HIPAA compliance platform.
- Screening runs automatically each month.
Where Harper is different
- Harper searches the state Medicaid lists as well as the federal ones, which matters wherever a state has excluded someone the federal lists have not.
- Harper search is free without a subscription.
Which to use
Accountable is a good fit for a small practice that wants federal screening bundled with the rest of its HIPAA program. Harper fits a quick check of a name, a roster or a vendor against every list without signing up, or a team that wants to see exactly which lists were checked and how current each was.
Other comparisons
Vendor facts were read from the linked pages in October 2026 and may have changed since. If something here is wrong, the corrections page says how to tell us.