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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

Unmatched scope – Access detailed results at both the county and global levels with ease. Premonition’s reach surpasses that of LexisNexis, Thomson Reuters, and Bloomberg combined. Limitless detail – Filter by venue, case type, judge, attorney, specific docket entries (like trial set dates), or keywords within documents. Data can be imported in API or CSV format directly into Salesforce or your CRM, eliminating the tedious cut-and-paste tasks required by competitors. Enhanced filtering – There’s no need to employ people to sift through court documents; our system can process 50,000 pages in less than a second. Acquire precisely the information you require and only incur costs for what you actually use. Discover the attorneys and legal cases that align best with your investment criteria weeks ahead of traditional lead services. With automated court monitoring for individuals or entities of interest, the efficiency of thousands of agents is replicated through automation, streamlining the process significantly. This allows for a more proactive approach in identifying valuable legal opportunities.

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

Premonition

Founded

2014

Country

United States

Website

premonition.ai/

Product Features

Product Features

Legal Research

AI / Machine Learning
Annotations
Brief Analytics
Case Alerts
Case Law Research
Change Tracking
Data Visualization
Filtering
Query Suggestions
Search History
Self-Service Search
Statutes Research
Tax Law Research
Third-Party Analysis Integration

Alternatives

Alternatives

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Trellis.law

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LexID

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