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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 Intelligize?

Intelligize™ is recognized as a leading provider of outstanding content, specialized news collections, regulatory insights, and powerful analytical tools designed for professionals in compliance and transactions. With its web-based research platform, it supports law firms, accounting firms, corporations, and other organizations in meeting government regulations, improving their contracts and negotiations, and optimizing value for both shareholders and clients. Based in the vibrant Washington, DC metropolitan area, Intelligize serves an array of Fortune 500 companies, including major names like Starbucks, IBM, Microsoft, Verizon, and Walmart, as well as several distinguished global law and accounting firms. A pivotal moment occurred in 2016 when Intelligize became a wholly-owned subsidiary of LexisNexis®, a leading global provider known for its content-enabled workflow solutions tailored to a variety of professionals in legal, risk management, corporate, government, law enforcement, accounting, and academic fields. This alliance has not only strengthened Intelligize's market presence but also allowed the company to utilize the extensive resources and expertise offered by LexisNexis®. As a result, Intelligize continues to enhance its offerings, positioning itself as an indispensable tool for its clients in navigating complex regulatory landscapes.

Media

Media

Integrations Supported

XML

Integrations Supported

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
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

Intelligize

Date Founded

2008

Company Location

United States

Company Website

www.intelligize.com

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

Legal Research

Not specified

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