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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 Protégé?

LexisNexis Protégé is an artificial intelligence assistant that provides legal research, document drafting, professional analysis, and workflow automation capabilities across the LexisNexis product ecosystem. The platform combines generative AI, agentic task execution, and authoritative research content to support complex legal and business workflows. Protégé is integrated into Lexis+ with Protégé, Lexis Create+, Lex Machina, CourtLink, CounselLink+, and other specialized LexisNexis applications. Its legal research capabilities allow attorneys to investigate questions using primary law, statutes, regulations, secondary sources, and expert-authored Practical Guidance materials. Document drafting tools assist with preparing contracts, transactional agreements, litigation motions, legal briefs, complaints, and client correspondence. The assistant can analyze uploaded documents, summarize case materials, compare contractual provisions, and extract relevant facts from extensive document collections. Integration with Shepard's enables users to verify legal citations, review the treatment of authorities, and identify unsupported legal references. Protégé's agentic AI capabilities support complex multistep assignments, including legal research, document review, drafting, and structured analysis. Organizations can create and share reusable AI agent skills, collaborate through secure Workrooms, and store sensitive materials in document Vaults for ongoing analysis. The assistant integrates with Microsoft Word, Microsoft 365 Copilot, and document management systems such as iManage, SharePoint, and NetDocuments to connect AI workflows with existing organizational knowledge. Additional integrations extend Protégé into litigation analytics, court docket research, legal spend management, regulatory disclosure analysis, intellectual property research, and business intelligence applications.

Media

Media

Integrations Supported

XML

Integrations Supported

Android
Apple iOS
Lexis

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS
Android
iPhone
iPad

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Not specified

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

www.lexisnexis.com/en-us/products/protege.page

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

AI Contract Review

Not specified

AI Legal

Not specified

Contract Analysis

Not specified

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