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
Unmatched scope – Access detailed results at both the county and global levels with ease. Premonition’s reach surpasses that of LexisNexis, Thomson Reuters, and Bloomberg combined. Limitless detail – Filter by venue, case type, judge, attorney, specific docket entries (like trial set dates), or keywords within documents. Data can be imported in API or CSV format directly into Salesforce or your CRM, eliminating the tedious cut-and-paste tasks required by competitors. Enhanced filtering – There’s no need to employ people to sift through court documents; our system can process 50,000 pages in less than a second. Acquire precisely the information you require and only incur costs for what you actually use. Discover the attorneys and legal cases that align best with your investment criteria weeks ahead of traditional lead services. With automated court monitoring for individuals or entities of interest, the efficiency of thousands of agents is replicated through automation, streamlining the process significantly. This allows for a more proactive approach in identifying valuable legal opportunities.
API Access
Has API
No
API Access
Has API
No
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
No
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
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan
Vendor Details
Company Name
Premonition
Founded
2014
Country
United States
Website
premonition.ai/
Product Features
Product Features
Legal Research
AI / Machine Learning
No
Annotations
No
Brief Analytics
No
Case Alerts
No
Case Law Research
No
Change Tracking
No
Data Visualization
No
Filtering
No
Query Suggestions
No
Search History
No
Self-Service Search
No
Statutes Research
No
Tax Law Research
No
Third-Party Analysis Integration
No