LexisNexis Provider Integrity Scan 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.
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LexisNexis Attract
LexisNexis® Attract™ scores empower insurance providers to effectively and precisely categorize policyholders and applicants based on their risk levels, resulting in enhanced underwriting processes. With the introduction of Attract™ 5.0, these carriers gain access to the most advanced predictive models available to date. For over twenty years, LexisNexis Risk Solutions has been instrumental in refining rating, pricing, and underwriting decisions across the insurance sector. These innovations encompass home, auto, and commercial insurance markets. The Attract™ suite of scores is built on principles of superior loss prediction, adherence to regulations, and straightforward integration, all aimed at boosting business outcomes. The latest iteration, Attract™ 5.0, further enhances the capacity of carriers to leverage consumer credit data, ultimately leading to even greater underwriting efficiency and accuracy. This development marks a significant step forward in the insurance industry's ability to assess risk with precision.
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LexisNexis InstantID
Expanding your business while adhering to Customer Identification Program (CIP) regulations requires the capability to make timely and insightful choices regarding potential clients. Achieve complete identity verification, detect fraudulent activity, and identify inconsistencies in identities instantly. LexisNexis InstantID serves as a customizable identity verification tool that empowers you to confirm consumer details, facilitating smarter decision-making and maintaining a focus on customer acquisition. For verifying business identities, refer to LexisNexis InstantID Business. By leveraging the vast LexisNexis identity database along with our established scoring and analytical systems, InstantID establishes a robust basis for Know Your Customer (KYC) and Customer Identification Program (CIP) initiatives. With functionality designed to reduce exceptions, enable thorough due diligence, and safeguard against compliance and fraud challenges, InstantID enhances both the customer experience and your overall business success, ensuring that your company remains competitive in a rapidly evolving market. This integrated approach not only streamlines verification processes but also fosters trust and reliability in your customer relationships.
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Integrations
Company Details
Company:
LexisNexis
Year Founded:
1970
Headquarters:
United States
Website:
risk.lexisnexis.com/products/provider-integrity-scan
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Product Details
Platforms
Web-Based
Types of Training
Training Docs
Live Training (Online)
Webinars
In Person
Training Videos
Customer Support
Business Hours
Online Support
LexisNexis Provider Integrity Scan Features and Options
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