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Description
The employer mandate of the ACA is intricate, placing an unequal strain on HR benefits teams tasked with adhering to the regulations. Additionally, the presence of state-level individual mandates adds further complexity to the landscape of employer health reform, which is subject to continuous change. Health e(fx) streamlines ACA reporting by providing tailored services and unique solutions designed to meet diverse needs. Our dedication to client support is a core aspect of our identity. This commitment is a significant factor in why our software is trusted by 75 companies listed in the Fortune 500. Built on extensive experience in health reform, Health e(fx) has established itself as the leading technology solution for the Affordable Care Act (ACA), currently aiding over 22.5 million individuals. As the pandemic and accompanying staffing difficulties persist, coupled with a new pro-ACA administration, navigating ACA and state mandate reporting is increasingly challenging for employers, as well as the benefits, payroll, and tax professionals who assist them. Throughout these changes, Health e(fx) remains proactive and adaptable, ensuring that we meet the evolving needs of our clients effectively.
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
API Access
Has API
Integrations
XML
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
HealthCare Impact Associates
Country
United States
Website
healthefx.us
Vendor Details
Company Name
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan