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What is LexisNexis Trail Tracker?

LexisNexis® Trail Tracker™ equips investigators with the tools needed to develop case strategies, outline essential actions, record observations, set alerts, and manage documentation. This innovative platform improves workflows by offering capabilities such as monitoring the progress of cases, tracking referral insights, assigning claims to appropriate departments for evaluation, and effectively distributing cases among investigators to optimize their workloads. Furthermore, Trail Tracker™ acts as a crucial resource for the management of Special Investigations Units (SIUs), allowing for the evaluation of investigator performance across various cases, monitoring recoveries and savings, and producing comprehensive reports on unit activities. By unifying all relevant information within a single platform, it enhances both efficiency and consistency in the investigative process. This holistic strategy not only refines operational procedures but also fosters improved collaboration among team members, ensuring that all aspects of each case are handled seamlessly. Through these capabilities, Trail Tracker™ ultimately supports the pursuit of justice and accountability.

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

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

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/trail-tracker

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

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

Categories and Features

Categories and Features

Healthcare Compliance

Not specified

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