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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 Instant Age Verify?

In all transactions—whether online, via phone, or in person—that involve age-restricted products and services, it is vital for businesses to perform comprehensive due diligence to verify the identities and ages of their clients, regardless of how the purchase is made. LexisNexis® provides robust identity verification and authentication solutions that help ensure businesses operate in a secure, safe, and profitable environment. While the digital marketplace can significantly boost revenue for companies, it also brings forth added challenges, as the verification processes for online and offline transactions vary considerably. The importance of confirming a customer's age is paramount when dealing with goods intended exclusively for adults, as any mistakes in these transactions can have serious consequences. Compliance with age-related laws is essential not only for legal reasons but also for upholding a company's reputation and fostering trust among its customers. Therefore, investing in reliable verification methods is an indispensable step for businesses aiming to navigate the complexities of age-restricted sales effectively.

Media

Media

Integrations Supported

XML

Integrations Supported

PremierCashier

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
Webinars

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 Risk Solutions

Date Founded

1997

Company Location

United States

Company Website

risk.lexisnexis.com/products/instant-age-verify

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

Age Verification

Not specified

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