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
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
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