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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

Optimize your enrollment procedures by utilizing our comprehensive, mobile-first enrollment solution, which is designed to eliminate paper transactions and enable the collection of member information seamlessly. Enhance your entire workflow, from enrollment to reconciliation and service delivery, minimizing errors and the necessity for manual tasks. Gain a consolidated view of your assigned leads, outstanding items, alerts, and notifications for better oversight. Benefit from intelligent prospecting features, including the ability to schedule tasks, conduct follow-ups, and efficiently manage lead assignments and searches. Experience remote and offline processing for applications and enrollments, allowing for immediate access to vital information that improves turnaround times. Ensure compliance with Centers for Medicare and Medicaid guidelines by capturing scopes of appointment effectively. Leverage dynamic mobile forms that facilitate the on-the-go collection of enrollees’ details and signatures, making the entire enrollment process more agile and responsive. This solution empowers organizations to stay ahead in a fast-paced environment, ensuring efficiency and accuracy in member management.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

XML Yes 

Integrations

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 No 

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

Newgen Software

Founded

1992

Country

United States

Website

newgensoft.com/solutions/industries/healthcare-payer/medicare-enrollment/

Product Features

Product Features

Electronic Medical Records (EMR)

Appointment Management No 
Charting No 
Compliance Tracking No 
E-Prescribing No 
E/M Coding No 
HIPAA Compliant No 
Handwriting Recognition No 
Integrated Telehealth No 
MIPS Certified No 
Meaningful Use Certified No 
ONC-ATCB Certified No 
Patient Portal No 
Self Service Portal No 
Voice Recognition No 

Alternatives

LexID Reviews

LexID

LexisNexis

Alternatives