LexisNexis Provider Integrity Scan
The LexisNexis® Provider Integrity Scan streamlines provider verification and ongoing monitoring by cross-referencing multiple databases. It triggers automatic alerts for high-risk indicators, enabling healthcare payers and Pharmacy Benefit Managers to efficiently identify and mitigate potential fraud. This solution enhances risk assessment and compliance while safeguarding healthcare programs against criminal activities.
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Top LexisNexis Provider Integrity Scan Features
- Automated provider verification checks
- Ongoing monitoring options
- Multiple data sources integration
- Automatic red flag alerts
- High-risk indicators detection
- Pre-enrollment screening capability
- Post-enrollment monitoring
- Fraud risk scoring
- Credential verification processes
- Real-time compliance updates
- Cost reduction strategies
- User-friendly interface
- Actionable insights generation
- Comprehensive network validation
- Risk assessment support
- Criminal activity detection
- Streamlined search processing
- Data-driven decision making
- Regulatory compliance assurance
- Enhanced fraud prevention tools
