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
Envision a scenario where entering a person's name yields an immediate, comprehensive report detailing their associations, including individuals, businesses, properties, legal matters, and even surrounding residences. This is precisely the capability offered by the LexisNexis SmartLinx Person Report. Utilizing advanced LexID linking technology, it efficiently analyzes millions of records to provide deep customer insights that would otherwise be incredibly time-consuming to gather independently. By leveraging SmartLinx, organizations can combat fraud, money laundering, and mitigate regulatory risks effectively. Additionally, it enhances operational efficiency by significantly reducing review times, empowering users with more detailed data for informed decision-making. The system taps into over 13,000 unique proprietary and public data sources, accommodating both thin-file and no-file consumers. Its patented LexID technology not only establishes connections among relevant data points but also creates a visual representation of these links for quick understanding. Furthermore, this "smart" technology intelligently filters out extraneous and repetitive information while discerning subtle distinctions between individuals, thereby streamlining the investigative process. Such capabilities make SmartLinx an invaluable tool for any thorough investigation.
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
risk.lexisnexis.com/products/smartlinx-person-report