LexisNexis Provider Integrity ScanLexisNexis
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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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About
Sokndall is a credentialing and payer enrollment tracker for small practices, solo clinicians and billing companies. It keeps every credential per provider and its expiration in one place (state license, DEA, controlled substance registration, malpractice, board certification, CAQH re-attestation every 120 days, Medicare and Medicaid revalidation), plus the status and follow-up history of every enrollment application with every payer. A weekly digest and expiration alerts go out by email before anything lapses. It does not store patient data (no PHI), does not connect to CAQH or payer portals, and does not do primary source verification. Pricing is published and self-serve, no sales call: Solo $79/month (up to 3 providers), Practice $299/month (up to 15 providers), Billing Co $699/month (up to 50 providers across multiple tax IDs). 14-day trial, cancel inside the app.
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Platforms Supported
Windows
Not Supported
Mac
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Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
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Android
Not Supported
Chromebook
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Audience
Businesses searching for a solution to reduce risk and prevent fraud
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Audience
Small medical and behavioral health practices, solo clinicians and medical billing companies in the US
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Support
Phone Support
Supported
24/7 Live Support
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Online
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Support
Phone Support
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24/7 Live Support
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Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
Screenshots and VideosNo images available
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Pricing
No information available.
Free Version
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Free Trial
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Pricing
$79/month
Free Version
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Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Supported
Webinars
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Live Online
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In Person
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Training
Documentation
Supported
Webinars
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Live Online
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In Person
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Company InformationLexisNexis
Founded: 1970
United States
risk.lexisnexis.com/products/provider-integrity-scan
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Company InformationSokndall
Founded: 2026
Panama
sokndall.com
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Integrations
XML
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