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What is LexisNexis Provider Integrity Scan?

In order to address potential risks, the Centers for Medicare and Medicaid Services (CMS) have established guidelines aimed at validating their networks. The significant influence of risk assessment processes on Pharmacy Benefit Managers (PBMs) has led to an unprecedented demand for accurate and actionable insights. The LexisNexis Provider Integrity Scan simplifies a variety of provider verification tasks and maintains continuous oversight by cross-referencing a multitude of files and lists, while additionally providing automatic notifications for various high-risk indicators. This tool excels in screening and validating providers both prior to and after enrollment, effectively working to detect and prevent criminal activities in the sector. By identifying potentially fraudulent providers and entities associated with health programs, the LexisNexis Provider Integrity Scan contributes to cost reduction for health care payers and PBMs. Furthermore, our cutting-edge solution enables users to perform multiple searches and access vital information, thereby improving their operational efficiency and security. This comprehensive strategy not only protects the integrity of health care programs but also cultivates a more trustworthy healthcare landscape, ultimately benefiting patients and providers alike.

What is FraudPoint?

Stay ahead of the constantly evolving threat landscape with advanced fraud detection technology that improves operational efficiency while also reducing costs. LexisNexis FraudPoint employs advanced analytics to identify fraudulent applications by leveraging extensive and continuously updated identity and digital intelligence. This real-time data refreshment equips you to outsmart fraudsters effectively. With FraudPoint's solutions, businesses can detect fraudulent activities before finalizing any application, successfully identifying synthetic identities and other deceitful practices, which results in a significant reduction in both fraud occurrences and financial losses. Additionally, by optimizing the investigative process, FraudPoint lowers administrative costs associated with unproductive inquiries, thus enhancing your overall financial health. Furthermore, this analytic suite offers access to some of the most reliable fraud prevention data and insights, including crucial digital analytics, boosting your ability to recognize a variety of fraudulent actions. The comprehensive framework of FraudPoint not only prepares organizations to tackle existing threats but also fortifies them against future challenges in the realm of fraud detection. As a result, companies can maintain a proactive stance against potential risks while safeguarding their resources effectively.

Media

Media

Integrations Supported

XML

Integrations Supported

XML

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

risk.lexisnexis.com/products/provider-integrity-scan

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

risk.lexisnexis.com/products/fraudpoint

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

Fraud Detection

Not specified

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