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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 InstantID?

Growing your business while remaining compliant with Customer Identification Program (CIP) regulations necessitates the ability to make prompt and informed decisions about potential clients. Ensure thorough identity verification, swiftly identify fraudulent behaviors, and recognize any discrepancies in identities without delay. LexisNexis InstantID is a versatile identity verification solution that allows you to validate consumer information, thus supporting more informed decision-making and prioritizing customer growth. For the verification of business identities, consider utilizing LexisNexis InstantID Business. By harnessing the extensive LexisNexis identity database along with our sophisticated scoring and analytical tools, InstantID lays a solid foundation for your Know Your Customer (KYC) and Customer Identification Program (CIP) efforts. Designed to minimize exceptions, facilitate comprehensive due diligence, and protect against compliance and fraud risks, InstantID not only improves the customer experience but also boosts your business's overall success, ensuring your organization stays ahead in a fast-paced market. This holistic strategy not only refines the verification process but also cultivates trust and dependability in your relationships with customers, ultimately leading to sustained growth and loyalty. By embracing such innovative solutions, businesses can navigate complexities effectively while enhancing operational efficiency.

Media

Media

Integrations Supported

LexID
XML

Integrations Supported

LexID
XML

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/instantid

Categories and Features

Categories and Features

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