Audience
Businesses searching for a solution to reduce risk and prevent fraud
About LexisNexis Provider Integrity Scan
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.
Other Popular Alternatives & Related Software
LexisNexis Voice Biometrics
LexisNexis Voice Biometrics is an ideal authentication tool for companies or government agencies that process a significant volume of high risk transactions remotely or within a call center environment. As unique to an individual as a fingerprint, a voice biometric (or "voice print") uses the sound, pattern and rhythm of an individual's voice to determine his or her identity. LexisNexis® Voice Biometrics provides a higher degree of security for remote, high-risk transactions with little to no impact on the customer experience. LexisNexis® Voice Biometrics enhances operational security and the customer experience while significantly reducing the costs and risks associated with remote authentication. This advanced voice biometric-based authentication solution that, when coupled with our identity proofing solutions, provides businesses and government agencies a single source for authenticated enrollment and repeat user authenticated access to the contact center.
Learn more
LexisNexis Attract
LexisNexis® Attract™ scores help insurance carriers conveniently and accurately classify insureds and applicants according to their risk potential, leading to improved underwriting. LexisNexis® Attract™ scores help insurance carriers conveniently and accurately classify insureds and applicants according to their risk potential, leading to improved underwriting. Now, with Attract™ 5.0, carriers have access to our most predictive models yet. For more than two decades, LexisNexis Risk Solutions has helped improve rating, pricing, and underwriting decisions for the insurance business. These solutions span the home, auto, and commercial markets. Superior loss predictability, regulatory, compliance, and easy implementation that improves business outcomes remain core to the Attract™ suite of scores. The next generation, AttractTM 5.0 solution provides carriers the ability to make even better use of consumer credit information to improve underwriting efficiency further.
Learn more
LexisNexis InstantID
Growing your business while satisfying Customer Identification Program (CIP) regulations demands the ability to make effective and efficient decisions on prospective customers. Complete identity verification, spot fraud and uncover identity discrepancies in real-time. LexisNexis InstantID is a configurable identity verification solution that allows you to verify consumer information to drive smarter decisions and keep customer acquisition in focus. For identity verification of businesses, see LexisNexis InstantID Business. By harnessing the power of the LexisNexis identity repository and our proven scoring and analytic technologies, InstantID provides a strong foundation for Know Your Customer (KYC) and Customer Identification Program (CIP) programs. With tools to help minimize exceptions, support deeper due diligence and protect against compliance and fraud risks, InstantID positively impacts the customer experience and your overall success.
Learn more
LexID
LexisNexis uses a proprietary linking technology in combination with our own unique identifier, LexID®, to resolve, match and manage information for more than 276 million U.S. consumer identities. This patented linking and clustering method is the machine behind many LexisNexis products that leverage authentication, verification and other identity management capabilities. When we acquire a new record, LexisNexis assigns our own unique identifier, LexID®. LexID is not derived from personally identifiable information, like a social security number. Records with intersecting data points are linked together by LexisNexis® patented Scalable Automated Linking Technology and are then assigned the same LexID. Identity profiles are continuously updated to ingest new records. This dynamic process paints an extremely accurate picture that accounts for identity changes over time.
Learn more
Integrations
Company Information
LexisNexis
Founded: 1970
United States
risk.lexisnexis.com/products/provider-integrity-scan
Videos and Screen Captures
Other Useful Business Software
MongoDB Atlas runs apps anywhere
MongoDB Atlas gives you the freedom to build and run modern applications anywhere—across AWS, Azure, and Google Cloud. With global availability in over 115 regions, Atlas lets you deploy close to your users, meet compliance needs, and scale with confidence across any geography.
Product Details
Platforms Supported
Cloud
Training
Documentation
Live Online
Webinars
In Person
Videos
Support
Phone Support
Online
