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
The LexisNexis Risk Defense Platform serves as a versatile and customizable engine for policy decision-making, aimed at assisting businesses in effectively navigating intricate fraud challenges, all while maintaining a seamless customer journey during onboarding, login, authentication, or account management. By establishing a single connection point, the platform integrates your organization with a comprehensive suite of fraud and identity solutions, along with insightful reporting metrics that enhance your capacity for secure authentication. This enables you to maintain workflow flexibility, ensuring that your fraud prevention strategies stay proactive against emerging threats while providing a smoother experience for legitimate customers. Ultimately, the Risk Defense Platform not only bolsters security but also empowers businesses to optimize their operations in an ever-evolving risk landscape.
API Access
Has API
No
API Access
Has API
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
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
Yes
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
Yes
Live Training (Online)
Yes
In Person
Yes
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
idms.lexisnexis.com/login
Product Features
Product Features
Fraud Detection
Access Security Management
No
Check Fraud Monitoring
No
Custom Fraud Parameters
No
For Banking
No
For Crypto
No
For Insurance Industry
No
For eCommerce
No
Internal Fraud Monitoring
No
Investigator Notes
No
Pattern Recognition
No
Transaction Approval
No