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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 Incredable?

Incredable serves as a comprehensive and customizable credentialing platform that connects healthcare facilities, providers, and administrators effectively. The solution simplifies the credentialing workflow by managing documents, tracking compliance, and verifying credentials seamlessly. By using Incredable, healthcare professionals can maintain their compliance and readiness consistently. Widely recognized in the healthcare sector, Incredable alleviates the strain of administrative tasks, boosts operational productivity, and promotes smooth collaboration among all parties involved, enabling healthcare teams to concentrate on providing exceptional patient care. Furthermore, this innovative solution adapts to various healthcare needs, making it an invaluable tool in today’s dynamic environment.

Media

Media

Integrations Supported

XML

Integrations Supported

XML

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour 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

Intiva Health

Date Founded

2008

Company Location

United States

Company Website

www.incredable.com

Categories and Features

Categories and Features

Credentialing

Incredable stands out as the premier software solution for credentialing, specifically tailored to support healthcare facilities, hospitals, and medical practices in effectively overseeing provider credentials and compliance. Our platform streamlines the processes of license verification, monitoring exclusions, and tracking expirations, which alleviates manual tasks and guarantees adherence to regulations. With functionalities such as Task Management, Privileging, and Payer Tracking, credentialing teams can optimize their workflows and remove obstacles. Incredable also offers sophisticated analytics and real-time reporting that deliver valuable insights, all while maintaining a secure environment to protect data integrity and comply with industry regulations. Transform the credentialing process, lessen administrative strain, and improve provider management with Incredable.

Appointment Management
Certification Tracking
Committee Management
Document Management
Expiration Management
License Verification
Online Applications
Privileging

Healthcare

Incredable transforms the landscape of healthcare credentialing by delivering a smooth, secure, and effective solution tailored for hospitals, clinics, and medical facilities. Our innovative platform simplifies the processes of provider credentialing, license verification, and compliance monitoring, alleviating administrative burdens and minimizing potential risks. Featuring automated Expiration Management, real-time Payer Tracking, and sophisticated Reporting tools, healthcare organizations can maintain regulatory compliance while enhancing operational efficiency. Incredable’s secure, cloud-based infrastructure consolidates all provider information, creating a streamlined workflow for credentialing, privileging, and appointment scheduling. Stay at the forefront of healthcare operations with our state-of-the-art credentialing software, designed to refine processes and elevate patient care.

Healthcare Compliance

Incredable revolutionizes healthcare compliance through a comprehensive platform that streamlines the management of provider credentials, regulatory obligations, and risk management. Our sophisticated compliance tools feature automated License Verification, Monitoring for Exclusions and Sanctions, and Expiration Management, enabling healthcare organizations to maintain compliance and prevent expensive fines. With features like real-time Payer Tracking, Privileging, and detailed Reporting, you can ensure adherence to industry standards and simplify the accreditation process. Tailored for hospitals, clinics, and medical practices, Incredable improves compliance efficiency, minimizes administrative workloads, and enhances data security, instilling confidence in every credentialing choice you make.

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