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What is LexisNexis RiskNarrative?

LexisNexis Risk Solutions offers a well-respected AML Transaction Monitoring solution that provides relevant and actionable risk intelligence to assist organizations in meeting international requirements for Anti-Money Laundering (AML), Customer Due Diligence (CDD), and Know Your Customer (KYC) regulations, all while effectively managing the risks associated with financial crimes. This all-encompassing solution features a wide variety of customizable rules that consider multiple factors including jurisdiction, transaction amount, frequency, and speed, along with sophisticated behavioral monitoring rules aimed at identifying irregular behaviors and transaction trends. The customizable nature of these rules and thresholds facilitates continuous risk assessment throughout the customer lifecycle, specifically adjusted to fit an organization’s unique risk tolerance. Key functionalities include real-time monitoring of high-risk transactions according to tailored criteria, an intuitive case management system for swift investigation of alerts, and seamless integration through a single API, establishing it as a versatile asset for effective risk management. Furthermore, the solution's inherent flexibility empowers businesses to proactively adapt to emerging threats in the dynamic realm of financial compliance, ensuring they remain vigilant in their efforts against potential risks. This adaptability is crucial, as it allows companies to refine their strategies in response to the constantly shifting landscape of financial regulations.

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.

Media

Media

Integrations Supported

Integrations Supported

XML

API Availability

Has API

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

Standard 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

2000

Company Location

United States

Company Website

risk.lexisnexis.com/global/en/financial-services/financial-crime-compliance/aml-transaction-monitoring

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

risk.lexisnexis.com/products/provider-integrity-scan

Categories and Features

AML

Not specified

Categories and Features

Healthcare Compliance

Not specified

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