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With LexisNexis, uncover and connect clues to identify and prevent fraud. Utilizing only the most complete, current and comprehensive data, LexisNexis provides insurers with layer linking and predictive technology for optimally cleansed databases, which help you identify and prevent possible fraud. We invite you to take advantage of the resources below for more information regarding our fraud, waste, and abuse solutions.

BROCHURES

LexisNexis® ProviderPoint®

Gain full insight on the proven, powerful, hosted solution that gives you a systematic way to keep your provider information accurate and up-to-date while significantly reducing operating costs.

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LexisNexis® Best Address

LexisNexis® Best Address gives you the address you need along with a host of additional data so you can have confidence that whatever the action being taken, it is done efficiently and decisively.

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LexisNexis® ProviderLookup®

Learn how you can find the answers you need in a snap with the simple interface, making your search for the right information easy, flexible and reliable.

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Member Management

Learn about the powerful suite of LexisNexis identity analytic tools allowing payers to increase the integrity of new enrollments, enhance compliance and reduce fraud by properly screening, verifying, authenticating and managing provider identity information.

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Did You Know?


With the ability to integrate into workflow systems More than 25 percent of provider demographic information changes each year and 40-50% of contact information provided by Medicaid is incorrect.

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WHITE PAPERS

How to Select an Information Solution Provider

This document provides a business overview of why organizations select information providers, and the key factors in that selection process. It also includes a list of questions to ask prospective information providers.

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Big Data & Analytics: Five Trends with Implications for Health Plans

Examine how LexisNexis® looks at data mining and analytics used across industries and organizations, looking at the types of information available that are not being leveraged by health plans.

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A Business Case for Fixing Provider Data Issues

Learn how you can make your network more competitive, and perhaps most important, save hundreds of thousands, and even millions, of dollars each year through provider information quality.

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The Most Important Question in Customer/Constituent Identity Management

This paper discusses the broader business/government context in which identity management occurs. Learn what you need to know to prove an individual is who they say they are.

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CASE STUDIES

National Health Plan Leverages LexisNexis® Data Solutions to Improve HEDIS Scores

Learn about how a national health plan gained confirmed addresses, returned public records and confirmed phone numbers and inaccuracies in data from LexisNexis®.

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EBRIEFS, ARTICLES
AND OTHER

2013 Governing Health & Human Services Special Report

An extensive report covering health care policies and practices that really work. Gain insight on collaboration, outpacing, outsmarting and outmaneuvering the health care data crisis and a path to recovery.

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The Role of Identity Management in Health Care

This article addresses how the healthcare industry should be thinking differently about identity management and why identity management has become increasingly important when considering deploying health information technologies.

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Want to learn more?

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