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.
LexisNexis® Accurint® for Health Care
Learn how Accurint® for Health Care puts the data you need at your fingertips, when you need it. With vast stores of up-to-date data assets for critical information requirements and superior architecture for fast retrieval, Accurint® helps payers meet the changing demands of the new health care delivery and insurance environment.
> DownloadLexisNexis® Virtual SIU Services
LexisNexis has developed a virtual investigative team with clinical backgrounds to help health care payers scale and their internal special investigations unit. Learn more now.
> DownloadLexisNexis® Intelligent Investigator™
Learn about the Intelligent Investigator™ - a sophisticated post-pay, improper payment identification and detection tool that leverages cross-claims rules and analytics to uncover and prioritize cases for optimal investigative efficiency and recoveries.
> DownloadLexisNexis® Trail Tracker™
Learn how this electronic file and investigation management system builds documents and manages fraudulent claims through investigation, prosecution and settlement.
> DownloadDid You Know?
3-10% of all Health Care expenditures have some type of FWA (National Healthcare Antifraud Association Report, March 2008)
> More InsightsBending the Cost Curve: Analytics-Driven Enterprise Fraud Control
Three percent, or $60 billion, of all health care spending is lost to fraud. Learn what LexisNexis offers in order to help avoid fraud, waste and abuse.
> DownloadKey Factors for Payers in Fraud and Abuse Prevention
Today’s claims payers are at war with perpetrators of false and intentionally inaccurate claims. Learn to arm yourself with the tools necessary to detect and prevent fraud and abuse and accurately validate charges.
> DownloadThe Real Cost of Health Care Fraud - and New Ways to Fight It
As criminals and scammers get more sophisticated, payers must do the same so they can stop healthcare fraud before claims are paid. Learn what acts will help you reduce fraud, waste and abuse and lead to lower costs.
> DownloadThe Rise of Organized Crime in Health Care
Learn how social network analysis identifies relationship clusters leveraging “big data” and advanced linking to reveal the relationships that organized criminal networks try so hard to keep hidden, enabling the effective investigation and termination of these insidious and costly rings.
> DownloadLeveraging Social Network Analytics to Prevent Fraud and Improper Payments
Advanced analytics leveraging massive public records data sets are changing the way health care enterprises detect and prevent fraud. Learn how LexisNexis built a large-scale network map to generate statistics to measure every cluster.
> DownloadLovelace Health Plan Looks to Make Significant Recoveries from Fraud, Waste, and Abuse Activities with LexisNexis
Learn how the SIU Compliance Officer, Paul Peoples, teamed up with LexisNexis® to understand how to optimize the use of the company’s Virtual SIU™ investigative services and Intelligent Investigator™ advanced fraud detection system.
> DownloadPayers Embrace Big Data
Find examples of how insurers, including Wellpoint, Aetna, Blue Cross and Blue Shield of Louisiana and more, are using data to drive down costs by preventing fraudulent or unnecessary claims, identifying doctors that provide high-quality, low-cost care, improving business processes and streamlining administrative workflows.
> DownloadSchedule a one-on-one phone conversation with a LexisNexis solution advisor!
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