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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 Lexi?

Streamlining your data across the entire supply chain is essential for effective management. During the data processing stage, we standardize all information from different file types, naming conventions, and columns, resulting in a cohesive dataset. Each data collection point often presents information in varying formats, languages, and structures. Lexi effectively consolidates all data into a consistent format and ensures synchronization across every collection point. Once the data is harmonized and cleansed, it can be effortlessly aggregated, providing a unified view that enables all stakeholders to work with the same information. Lexi’s Cloud Platform is equally proficient in managing both new products from R&D and established ones, ensuring versatility in data handling. Additionally, our data analytics can provide accurate should-cost estimates within +/- 5% for new products, even when they are still in the early conceptual stages, showcasing our dedication to precision and efficiency in data management. This capability not only improves decision-making processes but also promotes enhanced collaboration among diverse teams, ultimately leading to more successful project outcomes.

Media

Media

No images available

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

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

Lexi Solution

Company Location

Sweden

Company Website

www.lexisolution.com/solutions/

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

Sourcing

Spend Management

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