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Ratings and Reviews 0 Ratings
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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 KAPS?
Kelmar’s KAPS system, tailored for managing unclaimed property, is a versatile and scalable Software as a Service (SaaS) platform specifically aimed at government initiatives dealing with unclaimed assets. This innovative solution enables administrators to efficiently manage the entire lifecycle of unclaimed property, starting from the submission of reports and receipts and extending through due diligence mailing, escheatment, claims processing, and payment execution, all via a relational database interface that focuses on system configurations rather than requiring extensive custom coding. KAPS integrates seamlessly with state websites and features cloud-based document imaging, automated communications with property owners, and built-in LexisNexis verification for identity confirmation, in addition to leveraging the Kelmar Fraud Index for AI-enhanced risk evaluations. The system employs robust and secure authentication protocols and undergoes annual assessments to ensure compliance with SOC 2 Type 2 and ISO 27001:2022 standards, while also holding GovRAMP authorization. Moreover, its enhanced capabilities support auction closure processes, enable manual online reporting for smaller stakeholders, and assist in managing tangible property, thus providing a thorough approach to unclaimed property administration. As a result, each component of KAPS plays a critical role in promoting efficient and transparent practices in the management of unclaimed assets, solidifying its importance as an essential resource for governmental organizations. Ultimately, the KAPS system stands out as a comprehensive solution that not only streamlines operations but also fosters trust among the stakeholders involved in the unclaimed property process.
Integrations Supported
KSS Call Manager
LexID
LexisNexis Instant Verify
LexisNexis Property Data
XML
Integrations Supported
KSS Call Manager
LexID
LexisNexis Instant Verify
LexisNexis Property Data
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
Kelmar
Company Location
United States
Company Website
www.kelmarassoc.com/unclaimed-property-solutions/management-systems