Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

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

LexisNexis Health Equity and Inclusion Insights offers an extensive and actionable dataset focused on the social determinants of health (SDoH) at the individual level. This valuable information empowers healthcare organizations to enhance population health, advance clinical research, and pursue initiatives aimed at promoting health equity. By highlighting obstacles to care, the solution aids in refining care delivery and fostering more equitable healthcare choices, alongside developing diverse clinical research programs. It supplies de-identified datasets that can be integrated with other such datasets through LexisNexis Gravitas, a tokenization tool that utilizes a referential data layer for accurately matching de-identified records from various sources. Achieving health equity hinges on the ability to pinpoint health barriers and predictors of adverse health outcomes, allowing for targeted interventions that can positively impact individual patients. Ultimately, this focus on precision and actionable insights can lead to improved health outcomes across entire communities.

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 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

Country

United States

Website

risk.lexisnexis.com/products/health-equity

Product Features

Product Features

Clinical Trial Management

21 CFR Part 11 Compliance No 
Document Management No 
Electronic Data Capture No 
Enrollment Management No 
HIPAA Compliant No 
Monitoring No 
Patient Database No 
Recruiting Management No 
Scheduling No 
Study Planning No 

Population Health Management (PHM)

Analytics No 
Cost-of-Care Analysis No 
Data Storage No 
EMR/EHR Integration No 
Patient Engagement No 
Patient Identification No 
Patient Risk Stratification No 
Patient-Reported Outcomes No 
Payment Bundling No 
Predictive Alerts No 
Test & Treatment Reminders No 
Utilization Tracking No 

Alternatives

LexID Reviews

LexID

LexisNexis

Alternatives

LexID Reviews

LexID

LexisNexis