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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 Verify?

Quickly authenticate IDs and professional credentials to verify that applicants, clients, or employees have submitted genuine identity information. With an intuitive interface and transparent processes for end users, Instant Verify integrates effortlessly into a range of point-of-service or web applications. The identity verification and authentication tools offered by LexisNexis deliver the confidence required for conducting business in a safe, secure, and profitable manner. Users gain access to a vast database of over 34 billion public and proprietary records, providing them with a rich source of information. The easy integration, facilitated by a straightforward XML interface, greatly diminishes the time needed for manual data research. This service guarantees a dependable and secure method for transferring information. Furthermore, it allows users to correct data entry errors and resolve discrepancies before making final submissions, thereby improving overall data accuracy. The system’s customizable features reduce the necessity for extensive user training and ongoing assistance, effectively sparing organizations from the task of creating their own specialized solutions. Consequently, businesses can concentrate on their primary functions while taking advantage of streamlined identity verification processes. This efficiency not only enhances productivity but also helps maintain strict compliance with necessary regulations.

Media

Media

Integrations Supported

XML
KAPS

Integrations Supported

XML
KAPS

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/instant-verify

Categories and Features

Categories and Features

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