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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 Keep Contact?

The reliability of patient information tends to fluctuate more than many healthcare organizations are willing to admit. In fact, the number of mobile phone users in the United States surpasses the overall population, coupled with frequent job changes, name updates, and relocations, which all contribute to the instability of patient contact information. It is essential to tackle these inconsistencies to boost efficiency in various business processes while optimizing care coordination and service delivery, all in an effort to minimize costs. For example, having inaccurate patient contact information can negatively impact re-enrollment rates. LexisNexis Keep Contact offers thorough insights into patient details and supports the smooth incorporation of this data into healthcare practices. Additionally, Keep Contact not only enhances but also augments patient records by utilizing a vast array of public records, ensuring healthcare providers can maintain accurate and current patient information. This ultimately leads to better care outcomes and fosters a more reliable healthcare system. By prioritizing the integrity of patient data, organizations can significantly improve their overall operational effectiveness.

Media

Media

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
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/keep-contact

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

Address Verification

Not specified

Care Coordination

Not specified

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