Doctors without financial relationships with drug and device makers who visit the federal Open Payments site are met with an error message once they log in, one of numerous possible issues with the system. A CMS spokesman says the message clearly indicates doctors have no payment records in the system, but physicians expressed confusion and concern over what they say is a lack of clarity. Doctors have also had trouble gaining access to the site, reporting that verifying their identities and logging in is taking more than an hour in some cases.

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