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ease
features
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support

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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

Envision a scenario where entering a person's name yields an immediate, comprehensive report detailing their associations, including individuals, businesses, properties, legal matters, and even surrounding residences. This is precisely the capability offered by the LexisNexis SmartLinx Person Report. Utilizing advanced LexID linking technology, it efficiently analyzes millions of records to provide deep customer insights that would otherwise be incredibly time-consuming to gather independently. By leveraging SmartLinx, organizations can combat fraud, money laundering, and mitigate regulatory risks effectively. Additionally, it enhances operational efficiency by significantly reducing review times, empowering users with more detailed data for informed decision-making. The system taps into over 13,000 unique proprietary and public data sources, accommodating both thin-file and no-file consumers. Its patented LexID technology not only establishes connections among relevant data points but also creates a visual representation of these links for quick understanding. Furthermore, this "smart" technology intelligently filters out extraneous and repetitive information while discerning subtle distinctions between individuals, thereby streamlining the investigative process. Such capabilities make SmartLinx an invaluable tool for any thorough investigation.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

LexID
XML

Integrations

LexID
XML

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

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/smartlinx-person-report

Product Features

Product Features

KYC

Alternatives

LexID Reviews

LexID

LexisNexis

Alternatives

LexID Reviews

LexID

LexisNexis