Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
Sokndall functions as a comprehensive tracker for credentialing and payer enrollment, specifically designed for small practices, individual clinicians, and billing firms. It consolidates all necessary credentials for each provider, including their expiration dates, in one easily accessible location, covering aspects such as state licenses, DEA registrations, controlled substance registrations, malpractice insurance, board certifications, CAQH re-attestation every four months, and Medicare and Medicaid revalidations. Additionally, it monitors the status and follow-up history of every enrollment application submitted to various payers. Users receive a weekly summary and expiration notifications via email to ensure that nothing lapses. Importantly, Sokndall does not save patient information (no PHI), does not connect with CAQH or payer portals, and does not perform primary source verification. Its pricing model is transparent and designed for self-service, eliminating the need for sales calls: Solo plans are available for $79 per month (covering up to three providers), Practice plans for $299 monthly (up to 15 providers), and Billing Company plans for $699 a month (accommodating up to 50 providers across different tax IDs). A 14-day trial is offered, allowing users to cancel directly within the app if desired. With its user-friendly approach, Sokndall simplifies the complex processes of credentialing and payer enrollment for its users.
API Access
Has API
No
API Access
Has API
No
Screenshots View All
No images available
Integrations
XML
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
$79/month
Free Trial
Yes
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
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan
Vendor Details
Company Name
Sokndall
Founded
2026
Country
Panama
Website
sokndall.com
Product Features
Product Features
Credentialing
Appointment Management
No
Certification Tracking
No
Committee Management
No
Document Management
No
Expiration Management
No
License Verification
No
Online Applications
No
Privileging
No
Alternatives
Alternatives
No Alternatives