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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

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

Enhance your customer conversion rates and bolster your defenses against fraud by leveraging dynamic threat intelligence that is seamlessly integrated throughout the digital journey. In today's online marketplace, even a few seconds of delay can translate into significant revenue loss for your business. It is essential to not only boost conversion rates but also to effectively manage an increasingly complex landscape of cybercrime threats. LexisNexis® ThreatMetrix® offers a robust enterprise solution for digital identity intelligence and authentication, relied upon by over 5,000 prominent global brands to guide their daily transaction decisions. Our fraud prevention solutions merge insights from billions of transactions with advanced analytic technologies and integrated machine learning, creating a cohesive approach to decision analytics that spans the entire customer journey and empowers businesses to combat fraud more effectively. By utilizing these comprehensive tools, organizations can not only optimize their operations but also build lasting trust with their customers.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

CatalystPay
Effectiv
IBM Trusteer
XML

Integrations

CatalystPay
Effectiv
IBM Trusteer
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

1970

Country

United States

Website

risk.lexisnexis.com/products/threatmetrix

Product Features

Product Features

Fraud Detection

Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For Insurance Industry
For eCommerce
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval

Alternatives

Alternatives

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