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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 LexisNexis AML Insight?

AML Insightâ„¢ is a cutting-edge anti-money laundering (AML) solution developed by LexisNexis, designed to assist financial institutions in the detection, analysis, and reporting of potentially suspicious activities. Leveraging sophisticated data analytics and artificial intelligence, this platform offers prompt insights and comprehensive monitoring of transactional patterns. It enables organizations to identify and address high-risk transactions and entities through thorough risk assessments and screenings against global watchlists. By prioritizing compliance with regulations, AML Insight empowers financial institutions to combat money laundering effectively while enhancing their operational efficiency. This holistic strategy not only provides organizations with essential tools to navigate the complexities of financial threats but also fosters a proactive stance in safeguarding their operations. Ultimately, AML Insightâ„¢ positions institutions to adapt and respond swiftly to the dynamic challenges present in the financial sector.

Media

Media

Integrations Supported

Datalog TMS
IDmission
KYC Portal
LexisNexis InstantID Business
Majesco
MeridianLink Opening
RegTechONE
XML
appTRAKER LOS
crlHorizon

Integrations Supported

Datalog TMS
IDmission
KYC Portal
LexisNexis InstantID Business
Majesco
MeridianLink Opening
RegTechONE
XML
appTRAKER LOS
crlHorizon

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

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

risk.lexisnexis.com/products/aml-insight

Categories and Features

Categories and Features

AML

Behavioral Analytics
Case Management
Compliance Reporting
Identity Verification
Investigation Management
PEP Screening
Risk Assessment
SARs
Transaction Monitoring
Watch List

Financial Risk Management

Compliance Management
Credit Risk Management
For Hedge Funds
Liquidity Analysis
Loan Portfolio Management
Market Risk Management
Operational Risk Management
Portfolio Management
Portfolio Modeling
Risk Analytics Benchmarks
Stress Tests
Value At Risk Calculation

KYC

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