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
Enhance your customer conversion rates and bolster your defenses against fraud by leveraging dynamic threat intelligence that is seamlessly integrated throughout the digital journey. In today's online marketplace, even a few seconds of delay can translate into significant revenue loss for your business. It is essential to not only boost conversion rates but also to effectively manage an increasingly complex landscape of cybercrime threats. LexisNexis® ThreatMetrix® offers a robust enterprise solution for digital identity intelligence and authentication, relied upon by over 5,000 prominent global brands to guide their daily transaction decisions. Our fraud prevention solutions merge insights from billions of transactions with advanced analytic technologies and integrated machine learning, creating a cohesive approach to decision analytics that spans the entire customer journey and empowers businesses to combat fraud more effectively. By utilizing these comprehensive tools, organizations can not only optimize their operations but also build lasting trust with their customers.
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
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
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/threatmetrix
Product Features
Product Features
Fraud Detection
Access Security Management
No
Check Fraud Monitoring
Yes
Custom Fraud Parameters
No
For Banking
No
For Crypto
No
For Insurance Industry
No
For eCommerce
No
Internal Fraud Monitoring
Yes
Investigator Notes
No
Pattern Recognition
No
Transaction Approval
No