LexisNexis Provider Integrity ScanLexisNexis
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Related Products
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About
DCI focuses on providers and Government Agencies in the Medicaid, Medicare, and Managed Care Markets. Our software solutions streamline processes, allowing you to serve the direct care industry with coverage in all locations - from cities to rural areas. Our team can have you live in under 90 days. Are you looking to improve authorization management of your healthcare agency? At Direct Care Innovations (DCI), we offer our Real-Time Authorization Management Module as part of our business management platform. We designed the authorization module to serve as a real-time data management and reconciliation system for Medicaid, Medicare, Managed Care, and other service code-based insurance authorizations.Serves as the system of record for agencies to access and maintain service authorizations.
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About
To prevent the risk, Centers for Medicare and Medicaid Services (CMS) has established requirements to validate their networks. As Pharmacy Benefit Managers (PBMs) bear the brunt of this risk assessment, the need for accurate, actionable information has never been greater. LexisNexis Provider Integrity Scan automates a variety of provider verification searches and ongoing monitoring options by checking against multiple files and lists and provides automatic red flag alerts for a wide range of high-risk indicators. It has the capability of screening and verifying pre-enrollment as well as monitoring post-enrollment to detect and prevent criminal activity. LexisNexis Provider Integrity Scan is designed to help reduce health care payers' and PBM's costs by identifying potentially fraudulent providers and businesses enrolled or attempting to enroll in health-related programs. Our solution gives users the ability to efficiently process multiple searches and obtain critical information.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Anyone looking for an electronic visit verification solution
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Audience
Businesses searching for a solution to reduce risk and prevent fraud
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Free Trial
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Pricing
No information available.
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationDirect Care Innovations
United States
www.dcisoftware.com
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Company InformationLexisNexis
Founded: 1970
United States
risk.lexisnexis.com/products/provider-integrity-scan
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Categories |
Categories |
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Workforce Management Features
Budgeting & Forecasting
Contractor Management
Employee Lifecycle Management
Labor Projection
Performance Appraisal
Recruiting Management
Scheduling
Skills Tracking
Time & Attendance
Variable Workforce
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Integrations
XML
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