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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 LexID?

LexisNexis utilizes a proprietary linking technology paired with its unique identifier, LexID®, to accurately resolve, match, and manage data pertaining to over 276 million consumer identities across the United States. This innovative linking and clustering method forms the backbone of various LexisNexis products designed for authentication, verification, and identity management. When a new record is obtained, LexisNexis assigns it a distinct LexID® that remains unlinked to personally identifiable information, such as social security numbers, ensuring privacy. Records that contain shared data elements are connected through LexisNexis® patented Scalable Automated Linking Technology, which facilitates the assignment of a consistent LexID. The identity profiles are continuously updated to reflect new records, maintaining the currency of the information. This ongoing refinement process results in an exceptionally accurate depiction that captures the evolution of identities over time, thereby significantly improving data reliability. Additionally, this meticulous approach allows LexisNexis to adapt to the dynamic nature of consumer identities, ensuring their products remain effective and trustworthy.

Media

Media

Integrations Supported

XML

Integrations Supported

KAPS
LexisNexis InstantID
LexisNexis SmartLinx Person Report
Mortgage Industry Data Exchange (MIDEX)

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

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/our-technology/lexid

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

Identity Verification

Not specified

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