Accurint® for Health Care
According to the National Health Care Anti-Fraud Association, three percent of America's $1.7 trillion annual health care expenditure—an astounding $51 billion—is lost to fraud and overcharging.
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Protect your organization with LexisNexis® Accurint® for Health Care, a point-of-need solution that helps you adjudicate and process claims, investigate and prevent waste, abuse, and fraud, and verify patients and providers.
Investigate suspicious claims In order to allow National Health Care Anti-Fraud Association (NHCAA) members to collaborate with one another and share critical information on suspected fraud and abuse cases, Accurint® provides full access to the Special Investigation Resource and Intelligence System, or SIRIS.
Verify health care providers Accurint® for Health Care allows you to verify the identities and validate the professional licenses of health care providers nationwide with such in-depth information as board certifications, DEA licensing, legal standing, and criminal records. Information about licensing entities is also available.
Fight health care fraud The Accurint® service reveals the connections between a business and its authorized representatives in order to evaluate potential fraud. It can also help you keep track of your claimant accounts and notify you whenever a new telephone, address, or bankruptcy filing occurs.
Comply with federal regulations The Accurint® database does not use, keep or transmit any HIPAA-related data and as such your use of Accurint does not raise compliance issues under the Health Insurance Portability and Accountability Act (HIPAA) regulations.
Optional Components
Medical Records retrieval
LexisNexis® Medical Records Retrieval offers a fast, convenient, and secure way to order medical records and verify your customers' medical history.
Order, track, and retrieve medical records Our secure, web based interface allows you to request orders and to view the status of each request in real-time. This online ordering system gives you access to over 600,000 medical providers, and even allows you to place requests for x-ray duplication.
Verify your customers' medical history Medical Records Retrieval allows you to place more specialized retrieval requests in order to determine whether or not an undisclosed medical condition actually exists or to discover any pre-existing conditions. It also accesses employment and business records to assist with loss of earnings claims.
Comply with federal regulations The Accurint® database does not use, keep or transmit any HIPAA-related data and as such your use of Accurint does not raise compliance issues under the Health Insurance Portability and Accountability Act (HIPAA) regulations.
Get it now: for more information about Accurint® for Health Care, please call (800) 869-0751.
Accurint® and Medical Records Retrieval are not consumer reporting agencies as such term is defined in the federal Fair Credit Reporting Act, 15 U.S.C. §1681, et seq. ("FCRA"). Accurint® and Medical Records Retrieval reports do not constitute consumer reports as such term is defined in the FCRA, and accordingly Accurint® and Medical Records Retrieval reports may not be used to determine eligibility for credit or for any other purpose provided for in the FCRA.
Extend the power of Accurint for Health Care with the following:
InstantID®
Prevent fraud and identity theft before they strike your organization
NHCAA members can seamlessly link to SIRIS and share critical information about fraud and abuse cases.
How can we help your company? For more information about our solutions call (800) 869-0751 or email us now
