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Employment Screening Services by Industry

Updated 13 min read

For HR and compliance leads in regulated sectors. The FCRA steps are the same in every industry; what changes is the list of searches your own sector's rule names, from the HHS-OIG exclusion list in healthcare to the Clearinghouse query for truck drivers. This page maps those rules first, then sets 6 PBSA-accredited screening firms against the industries they say they serve, read on October 22, 2026. For the general head-to-head, see the best background check services for employers.

Best for healthcare

Cisive

Screens OIG, SAM and state Medicaid lists and monitors licenses.

Best for DOT drivers

Foley

Runs your Clearinghouse queries as a TPA and keeps driver files.

Best for staffing firms

Asurint

Scores records for assignment eligibility; links to Bullhorn and JobDiva.

Coloured pencil drawing of wooden pigeonhole mail slots with one blue folder
A wall of mail slots, one folder for each kind of hire.

The check each industry owes

Every row below is a search or step a federal rule names for that sector, with the deadline it sets. State law adds more on top, especially for schools and care workers.

IndustryThe check the rule namesWhenRule
Healthcare billing Medicare or MedicaidHHS-OIG exclusion list (LEIE)Before hire, then routinely42 CFR 1003.200(b)(4)
Nursing homesAbuse findings: courts, nurse aide registry, license boardsBefore employing42 CFR 483.12(a)(3)
Motor carriers (CDL drivers)Driving record from every licensing state, 3 yearsWithin 30 days of hire, then every 12 months49 CFR 391.23(a)(1); 391.25
Motor carriers (continued)Safety performance history with DOT employers, 3 yearsWithin 30 days of hire49 CFR 391.23(a)(2), (c)(1)
Motor carriers (continued)Clearinghouse full query, driver's consentBefore safety-sensitive work, then yearly49 CFR 382.701(a)-(b)
Motor carriers (continued)Verified negative drug testBefore safety-sensitive work49 CFR 382.301(a)
Child care (CCDBG providers)FBI fingerprints, NCIC sex offender registry, state registriesBefore the start date, then every 5 years45 CFR 98.43(b), (d)
Head StartSex offender registry plus a state or FBI fingerprint checkBefore hire; the rest within 90 days45 CFR 1302.90(b)
FDIC-insured banksDocumented inquiry for dishonesty, breach of trust, money launderingBefore hire12 CFR 303.220(b)
Broker-dealersFingerprints to the Attorney GeneralFor partners, directors, officers, employees17 CFR 240.17f-2(a)
Staffing firmsThe FCRA steps fall on the firm that orders the reportBefore the report is ordered15 U.S.C. § 1681b(b)
Read from the eCFR, HHS-OIG and the U.S. Code on October 22, 2026. Exemptions apply in several rows; the sections below name them.

Healthcare: the exclusion lists

If your organization bills Medicare, Medicaid or another federal health program, the search that sets healthcare apart is the exclusion list. HHS-OIG keeps the List of Excluded Individuals/Entities (LEIE). No federal health program pays for items or services an excluded person furnishes, orders or prescribes, and OIG's FAQ says that payment ban applies to “anyone who employs or contracts with the excluded person.”

Penalty

OIG may impose a penalty on any person who “arranges or contracts (by employment or otherwise) with an individual or entity that the person knows, or should know, is excluded” from federal health care programs.

42 CFR 1003.200(b)(4)

What OIG asks

“To avoid CMP liability, health care entities should routinely check the list to ensure that new hires and current employees are not on it.” OIG posts supplement files to the downloadable list every month, and only its online search can confirm a match against a Social Security number.

The LEIE holds only OIG's own actions, so a search of it alone misses the federal SAM list and each state's Medicaid exclusions. That gap is why screening firms sell a bundled “sanctions” or “exclusion” search; ask which lists it covers and how often it re-runs on your current staff.

Nursing homes carry one more rule. A facility may not employ anyone found guilty of abuse, neglect, exploitation, mistreatment or misappropriation of residents' property by a court, anyone with such a finding in the state nurse aide registry, or anyone whose license is under discipline for it (42 CFR 483.12(a)(3)). That makes the registry and the license board two searches the file has to show.

What to do

  1. Run the LEIE, SAM and your state's Medicaid list before the start date, for every hire.
  2. Re-run them on current staff on a fixed schedule; monthly matches OIG's supplement files.
  3. Verify licenses at the board and set a monitor for lapses after hire.

Transportation: the DOT driver file

For a commercial driver in safety-sensitive work, the FMCSA rules build the file for you, item by item. Motor carriers pull a commercial driver's three-year record from every state that licensed them, within 30 days of hire, and pull and review each driver's record at least once every 12 months. In the same 30 days the carrier investigates the driver's safety performance history with DOT-regulated employers over the preceding three years, and keeps a written record of each employer contacted. Our guide to MVR checks covers the driving record side.

Deadline

Driving records and the safety performance history go in the file within 30 days of the first day of employment. The driving record is then pulled and reviewed at least once every 12 months.

49 CFR 391.23(a)-(c); 391.25(a)-(b)

Two checks come before the first safety-sensitive shift. A commercial driver cannot start safety-sensitive work until the employer has a verified negative pre-employment drug test (narrow exceptions apply), and the employer must run a full query of the Drug and Alcohol Clearinghouse, which needs the driver's specific consent. After that, the Clearinghouse is queried at least once a year; a limited query is enough unless it shows a record, and then the full query must follow within 24 hours. Test types and the DOT panel are in drug testing for employers.

The rule

Employers “must not employ a driver … to perform a safety-sensitive function without first conducting a pre-employment query of the Clearinghouse.”

49 CFR 382.301(a); 382.701(a)-(b)

The driving record you pull through a screening firm is still a consumer report, so the FCRA steps apply. There is a narrow exception for remote applicants to DOT-regulated driving jobs; everyone else gets the standard steps.

What to do

  1. Before the first shift: a verified negative drug test and a full Clearinghouse query.
  2. Within 30 days: every state's driving record and three years of DOT employer history.
  3. Every 12 months: the driving record review and a Clearinghouse query on each driver.

Child care, Head Start and schools

Child care providers covered by the federal child care block grant do not order their core check from a screening firm at all. The provider sends the request to its state agency, which has up to 45 days to return it. The check covers an FBI fingerprint search, the National Crime Information Center's sex offender registry, and the state criminal, sex offender and child abuse registries in every state the person lived in during the preceding five years.

Deadline

The request goes in before the person becomes a staff member, and again at least once in each five-year period. A new hire may start once either the FBI fingerprint check or the fingerprint-based state criminal check in their home state comes back qualifying, but must be supervised at all times until every part of the check is back.

45 CFR 98.43(d)(2), (d)(4)

Head Start runs on its own rule: before hire, an interview, reference checks, a sex offender registry check and either a state or an FBI fingerprint check; within 90 days, the other fingerprint check and the state child abuse and neglect registry, where one exists. No unsupervised access to children until all of it is done, and the full set again at least once every five years (45 CFR 1302.90(b)). Schools follow their state's statute, so read your own education code before you buy a package.

Where a screening firm earns its place here is everything the state check leaves out: employment and reference verification, a driving record for anyone who drives children, and volunteers the rule does not reach. The volunteer screening scope planner sets a search scope per role, and churches comparing volunteer firms can start at background check companies for churches.

Banks and broker-dealers

A bank with FDIC deposit insurance may not let a person convicted of a crime of dishonesty, breach of trust or money laundering (or who entered a pretrial diversion program for one) work in its affairs without the FDIC's written consent. The FDIC turns that into a hiring step.

The rule

Banks “must therefore make a reasonable, documented inquiry to verify an applicant's history.” An FDIC-supervised bank may make a conditional offer that depends on a background check.

12 CFR 303.220(b); 12 U.S.C. § 1829

Broker-dealers, exchange members, transfer agents and clearing agencies have a fingerprint rule instead: each must fingerprint its partners, directors, officers and employees and submit the prints to the Attorney General, subject to the exemptions in 17 CFR 240.17f-2(a). Credit reports are the other finance-specific search, and several states and cities limit them; see credit checks for employment.

Staffing firms

A staffing firm is usually the one ordering the report, so the FCRA duties are its own, not its client's: give the background check disclosure on its own page, with nothing else on it but the disclosure, and send the report and the Summary of Rights before deciding against anyone because of it. A client's screening standard is a contract term layered on top; it never replaces those steps. The disclosure form builder drafts the page.

Re-checks for a new assignment

FTC staff have said a valid disclosure and consent “remain effective throughout the duration of employment,” so a fresh search for a new client does not always need a new form. Your own form's wording and state law can still require one.

FTC staff, 40 Years of Experience with the FCRA (2011)

The EEOC's 2012 guidance on arrest and conviction records applies to every entity Title VII covers, employment agencies included. That brings in its individualized assessment: tell the person they may be excluded because of past criminal conduct, give them a chance to show why the exclusion should not apply, and weigh what they say. Our individualized assessment guide walks through one.

What to do

  1. Keep one stand-alone disclosure per worker and check that its wording covers later re-checks.
  2. Write each client's rules into the scoring, not into a recruiter's memory.
  3. Run the adverse-action notices from your own file, whatever the client decides.

Firms by industry

Which industries each firm names on its own site, and the sector search it publishes for each. “Not published” means the firm does not name that industry; it may still take the work, so ask.

Screening firms by the industries they say they serve, read October 22, 2026
VendorHealthcareTransportation and DOTStaffingEducationFinancial servicesNonprofits and volunteers
CisiveBest for healthcare
DocumentedOIG, SAM, state Medicaid listsDocumentedClearinghouse as a C/TPANot publishedDocumentedHealthcare educationDocumentedFINRA, SEC, FFIEC checksDocumentedVolunteer packages
Foley
DocumentedLicense checks, criminal monitoringDocumentedClearinghouse as your TPA, driver filesNot publishedNot publishedNot publishedNot published
Asurint
DocumentedFACIS exclusions, license monitoringDocumentedMVR, CDLIS, PSPDocumentedAssignment eligibilityDocumentedDocumentedCredit and bankruptcy searchesDocumentedStaff and volunteers
HireRight
DocumentedSanctions and actions monitoringDocumentedClearinghouse queries, MVRDocumentedDocumentedFaculty and staffDocumentedFDIC needs, FBI fingerprintsDocumentedVolunteer programs
DISA Global Solutions
DocumentedOIG, SAM, state Medicaid monitoringDocumentedDOT testing, PSP, prior employersDocumentedDocumentedHigher educationDocumentedFinancial due diligenceNot published
Verified Credentials
DocumentedOIG Sanctions Report, FACISDocumentedDOT employment checks, DOT testsDocumentedDocumentedHigher educationDocumentedDocumentedVolunteer screening

The FCRA steps, firm by firm

The same 6 firms against the steps every employer's file needs. Foley's pages describe the DOT file in depth and the FCRA notices not at all, which is why its notice, assessment, disclosure and dispute cells read “Check with the vendor”. None of them publishes its data retention controls. The full sequence is in the FCRA rules for employers.

Screening firms against the FCRA steps, read October 22, 2026
VendorPBSA accreditationPre-adverse and adverse notice workflowIndividualized assessment supportStand-alone disclosure and consentDispute handlingContinuous monitoringMVRDrug testingATS and HRIS integrationsData retention controls
Cisive
AccreditedUS AccreditedAdd-onAdverse action lettersCheck with the vendorCheck with the vendorDocumentedDispute options onlineDocumentedCriminal, sanctions, MVR, licensesDocumentedDocumentedDocumentedWorkday; open APICheck with the vendor
Foley
AccreditedListed as Foley Carrier ServicesCheck with the vendorCheck with the vendorCheck with the vendorCheck with the vendorDocumentedCriminal and MVR monitorsDocumentedDocumentedDOT and non-DOTDocumentediCIMS, Greenhouse, Workday, LeverCheck with the vendor
Asurint
AccreditedUS AccreditedCheck with the vendorCheck with the vendorCheck with the vendorDocumentedOnline dispute formDocumentedContinuous and MVR monitoringDocumentedVia partnereScreen, CRLDocumentedBullhorn, JobDiva, AviontéCheck with the vendor
HireRight
AccreditedUS AccreditedDocumentedCompliance servicesDocumentedCompliance servicesDocumentedDisclosures and consentDocumentedCandidate policyDocumentedSanctions, licenses, arrestsDocumentedDocumentedDocumented70+ ATS and HCMCheck with the vendor
DISA Global Solutions
AccreditedUS AccreditedDocumentedAdverse action noticesCheck with the vendorDocumentedeConsentDocumentedOnline dispute formDocumentedExclusion listsDocumentedPre-hire and annualDocumentedDOT and non-DOTDocumentedBullhorn, Avionté, DayforceCheck with the vendor
Verified Credentials
AccreditedUS AccreditedDocumentedPre-adverse and adverse in platformCheck with the vendorDocumentedE-signed in candidate portalDocumentedCandidate help centerDocumentedContinuous MVR, periodic rechecksDocumentedDocumentedDocumentediCIMS connectorCheck with the vendor

The firms, one by one

Healthcare, driver and finance screening

Cisive

One firm with three storefronts: PreCheck for hospitals and clinical schools, Driver iQ for motor carriers, and Cisive for banks and other employers. Its healthcare desk screens exclusion lists and watches licenses after hire.

Health systems that bill Medicare or Medicaid and want exclusion screening and license monitoring from the same firm that runs the criminal search.

  • PBSA accreditationAccreditedUS Accredited
  • Dispute handlingDocumentedDispute options online
  • Exclusion and sanction screeningDocumentedOIG, GSA, state Medicaid
  • License monitoring after hireDocumented
  • FBI fingerprints and Rap BackDocumented
DOT compliance and screening

Foley

A screening firm that grew out of trucking compliance: it registers carriers in the FMCSA Clearinghouse, manages driver consent, runs the queries and keeps digital driver qualification files. It also sells general background checks and drug testing.

Motor carriers whose biggest risk is the driver file at a DOT audit. Ask how it runs the FCRA notices, which its pages do not describe.

  • PBSA accreditationAccreditedListed as Foley Carrier Services
  • Dispute handlingCheck with the vendor
  • Clearinghouse queries and driver consentDocumented
  • Driver qualification filesDocumented
  • Safety performance historiesDocumented
Staffing and high-volume screening

Asurint

A screening firm built for volume, with rule-based scoring of criminal and driving records (IQ Assist) and a staffing add-on aimed at assignment eligibility (IQ Assign). Its partner list is long on staffing software.

Staffing agencies that place the same worker with several clients, each with its own screening rules.

  • PBSA accreditationAccreditedUS Accredited
  • Dispute handlingDocumentedOnline dispute form
  • Assignment eligibility by roleDocumentedIQ Assign
  • Staffing ATS connectionsDocumented
  • Nurse abuse registry searchDocumented
Multi-industry screening

HireRight

A large screening firm with a page for every industry on this list, from DOT carriers to non-profits. Its compliance services cover the disclosure, consent, individualized assessment and both adverse-action notices.

Employers that hire across several regulated sectors at once and want one firm for all of them.

  • PBSA accreditationAccreditedUS Accredited
  • Dispute handlingDocumentedCandidate policy
  • Clearinghouse queries for carriersDocumented
  • Healthcare sanctions monitoringDocumented
  • FBI fingerprintingDocumentedEligible employers
Drug testing and screening

DISA Global Solutions

A drug-testing network that also runs background checks, with DOT testing under the FMCSA, FAA, FRA, FTA, PHMSA and USCG rules and a collection network it puts at over 6,000 sites. Its healthcare desk monitors exclusion lists continuously.

Employers whose drug-testing program is the heavier load, in transportation, industrial work or healthcare.

  • PBSA accreditationAccreditedUS Accredited
  • Dispute handlingDocumentedOnline dispute form
  • DOT drug and alcohol testingDocumented
  • Exclusion list monitoringDocumented
  • PSP and CDLIS reportsDocumented
Healthcare and education screening

Verified Credentials

A screening firm with a healthcare search shelf (the OIG sanctions report, FACIS, the GSA excluded-parties list, abuse registries) and student screening for clinical placements. Candidates sign the disclosure in its own portal.

Hospitals, clinics and colleges that want the healthcare searches and the paperwork in one portal.

  • PBSA accreditationAccreditedUS Accredited
  • Dispute handlingDocumentedCandidate help center
  • OIG sanctions searchDocumented
  • Adult and child abuse registriesDocumented
  • Student clinical placement screeningDocumented

How we compared

How we compared

We read each vendor's own public pages and the lists named below on . A word in the table is what the vendor publishes. Where a vendor does not publish a feature, the table says “Check with the vendor” or “Not published”: ask them before you rely on it. Verdicts are by use case, never by price.

Accreditation comes from PBSA's Accredited Firms Directory, searched with the name field blank for the full list; every firm here is on it, and all of them appear in our accredited screeners roster. The industry rules come from the eCFR and the agencies' own pages. The verdicts go to the firm whose own pages cover the most of that sector's named searches. First Advantage was left out because its site would not load for our reader on the read date.

Verdicts are editorial: no vendor can buy a verdict position or displace another vendor.

Sources read October 22, 2026

Questions employers ask

What is an employment screening service?

A firm that compiles background reports for hiring decisions. In law it is a consumer reporting agency, and the FCRA rules apply to current employees too: a report used for promotion, reassignment or retention is an employment-purpose report.

Does PBSA accreditation mean a firm meets my industry's rules?

No. PBSA accreditation means an outside auditor checked the firm against PBSA's U.S. Employment Screening Standard, which centers on FCRA and DPPA compliance. It is renewed every five years. It says nothing about whether a firm runs the exclusion lists, the Clearinghouse or fingerprint checks your sector needs; the tables on this page do that.

Can a screening firm run the FMCSA Clearinghouse queries for us?

Several firms on this page say they do, acting for the carrier with the driver's consent. The rule itself still names the employer: it must not put a driver in safety-sensitive work before the pre-employment query, and it must query each driver at least once a year (49 CFR 382.701).

How often should healthcare staff be checked against the exclusion lists?

HHS-OIG asks health care entities to check the LEIE “routinely” for new hires and current employees and does not set a number. It posts supplement files every month, so a monthly re-check keeps pace with the list.

What happens if an applicant disputes the report?

The screening firm generally has 30 days to reinvestigate (up to 15 more if the applicant sends new information during that time). The pre-adverse notice is what gives the applicant the chance to raise it before you decide.