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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
Metabridge is an innovative platform that transforms the auditing of 340B programs through a rule-based engine that streamlines and automates the entire auditing process. By ensuring that 100% of 340B claims are audited, Metabridge effectively eliminates the potential for audit discrepancies, enabling you to complete audits of 340B prescriptions in mere minutes.
Why Opt for Metabridge?
We provide agile and forward-thinking solutions that demystify the complexities associated with managing the 340B program while maximizing federal pricing advantages.
Highlights of the 340B Compliance Manager:
Dashboard
This feature serves as a unified source of truth for all involved parties, offering real-time data that facilitates informed decision-making.
Claims Repository
Efficiently handle and archive all claims within a single, secure platform, with flexible options for either on-premise or cloud-based data storage.
Auditor Module
Revamp your auditing process by cutting down the time spent on sample size audits from hours to just minutes, while also optimizing savings through our Manufacturer Exclusion module. Furthermore, this module enhances overall operational efficiency, allowing healthcare providers to focus more on patient care.
API Access
Has API
API Access
Has API
Screenshots View All
No images available
Integrations
XML
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
$1000/user/month
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
TheHistroke
Founded
2022
Country
United States
Website
thehistroke.com