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Average Ratings 0 Ratings

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ease
features
design
support

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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.

Description

LexisNexis Risk Solutions presents a highly regarded solution for AML Transaction Monitoring, equipped with actionable and pertinent risk intelligence to aid businesses in adhering to global standards for Anti-Money Laundering (AML), Customer Due Diligence (CDD), and Know Your Customer (KYC) protocols while effectively addressing the risks posed by financial crimes. This comprehensive solution includes an extensive array of configurable rules that span various factors such as jurisdiction, transaction value, volume, and velocity, as well as advanced behavioral monitoring rules designed to detect unusual behaviors and transaction patterns. The adaptability of these rules and thresholds ensures ongoing risk evaluation throughout the customer journey, tailored to align with an organization’s specific risk appetite. Notable features encompass real-time oversight of high-risk transactions based on customized criteria, user-friendly case management for prompt alert investigation, and smooth integration capabilities via a single API, making it a versatile tool for risk management. Additionally, the solution's flexibility allows businesses to stay ahead of emerging threats in the ever-evolving landscape of financial compliance.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

XML

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

LexisNexis

Founded

1970

Country

United States

Website

risk.lexisnexis.com/products/provider-integrity-scan

Vendor Details

Company Name

LexisNexis

Founded

2000

Country

United States

Website

risk.lexisnexis.com/global/en/financial-services/financial-crime-compliance/aml-transaction-monitoring

Product Features

Product Features

AML

Behavioral Analytics
Case Management
Compliance Reporting
Identity Verification
Investigation Management
PEP Screening
Risk Assessment
SARs
Transaction Monitoring
Watch List

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