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Average Ratings 0 Ratings

Total
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

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 

Screenshots View All

Screenshots View All

Integrations

LexisNexis Risk Solutions No 
XML Yes 

Integrations

LexisNexis Risk Solutions Yes 
XML 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 

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