Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
ClearRoster is an online tool designed for small healthcare practices to assist with exclusion screening and maintaining records. Users can input staff and vendor names one by one or upload a spreadsheet, and ClearRoster performs monthly checks against the federal OIG List of Excluded Individuals/Entities, SAM.gov exclusions, and 15 state Medicaid exclusion or termination lists. The platform provides close-name results, details the matching process, and directs users to the publisher’s search for further verification of potential matches. Additionally, it maintains a dated record of the monthly checks, listing the specific sources consulted, their update dates, the names screened, and the outcomes of those reviews, all of which can be downloaded for reference. It's important to note that similarity in names does not automatically imply exclusion, so users are responsible for reviewing the potential matches. The service is restricted to the specified states and is intended solely as a tool for screening and recordkeeping, without offering legal or compliance guidance. Furthermore, ClearRoster aims to simplify the process for practices while ensuring they stay informed about any exclusions that could impact their operations.
Description
To mitigate potential risks, the Centers for Medicare and Medicaid Services (CMS) have instituted guidelines to ensure the validation of their networks. Given that Pharmacy Benefit Managers (PBMs) are significantly impacted by the risk assessment process, the demand for precise and actionable insights has reached unprecedented levels. The LexisNexis Provider Integrity Scan streamlines a variety of provider verification processes and offers continuous monitoring by cross-referencing numerous files and lists, while also delivering automatic alerts for numerous high-risk factors. This tool is proficient in screening and verifying providers both before and after enrollment, aiming to uncover and thwart criminal activities effectively. By identifying potentially fraudulent providers and businesses involved in health-related programs, the LexisNexis Provider Integrity Scan serves to lower costs for health care payers and PBMs alike. Our innovative solution empowers users to effectively conduct multiple searches and access crucial information, enhancing their operational efficiency and security. This comprehensive approach not only safeguards the integrity of health care programs but also fosters a more reliable health care environment.
API Access
Has API
No
API Access
Has API
No
Screenshots View All
No images available
Integrations
XML
No
Pricing Details
$29/month, 14-day free trial
14-day free trial; $29/month for up to 100 people and vendors, or $49/month for up to 500. No card needed to start.
Free Trial
Yes
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
No
In Person
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Vendor Details
Company Name
Neverclosed
Website
clearroster.tryneverclosed.com/
Vendor Details
Company Name
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan