Streamline Verify vs Harper
Checked against their own pages, October 2026
Exclusion screening for healthcare organizations, sold by quote, with a published page on state Medicaid lists. 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
| Streamline Verify | Harper | |
|---|---|---|
| State Medicaid lists | Says it checks 45 separate state Medicaid exclusion lists. That count includes DC and a second Washington list.Source: State Medicaid lists | 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 | Federal exclusion lists, and its FAQ mentions the CMS Preclusion List.Source: State Medicaid lists | 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 | Describes hourly synchronization.Source: State Medicaid lists | Every source is read weekly, and the date of the last successful read is published per source. |
| Price | Not published; sold by quote. | Free. |
| Free name search | No free public name search found on its site. | Yes. Any name, no account, plus an API and an MCP server for AI assistants. |
Where Streamline Verify offers more
- A faster stated refresh: hourly synchronization, against Harper reading each source weekly.
- Coverage of the CMS Preclusion List.
Where Harper is different
- Harper search is free with no account.
- Harper counts each state once and names it, with its record count and last read date, so the total is checkable.
Which to use
Streamline Verify is a good fit for an organization that wants screening with frequent refreshes and preclusion checks, under contract. 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.