We recommend that HRSA commit to strengthening its procedures that may apply to future programs of a similar nature to expand insurance verifications using additional data fields on each patient for whom an SSN is not submitted as part of a prepayment check or postpayment review process to identify potential exact matches for health insurance coverage, ensure data sources used to verify health insurance coverage are reliable, and develop in a timely manner an assessment strategy to ensure claims are appropriately reimbursed to providers.