Prevent fraud, waste and abuse in your Health and Human Services program with Program Integrity Solutions from LexisNexis® Risk Solutions.
Our identity management tools and analytics simplify and streamline fraud monitoring. Now you can confidently confirm the identities of applicants and proactively detect fraudulent claim attempts before payments are made, while ensuring eligible individuals and families are provided benefits in a timely manner.
Ensures your agency’s list is current and correct by cross-referencing and matching layers of disparate data on your beneficiaries.
Reveals complex relationships between providers and beneficiaries that may be indicative of fraud.
Front-end Fraud Protection
Access to 37 billion records linked from 10,000 data sources makes locating, identifying, proofing and authenticating applicants a simple process.
Predictive Identity Analytics
Reveals patterns at change-of-service intervals to anticipate potential fraud.
Program Eligibility Assessment
Identifies wealth indicators and unclaimed assets that frequently suggest fraud.
Achieve These Results
Reduce Fraud, Waste and Abuse
Stop improper payments so benefits only go to qualified recipients who truly need assistance.
Install Program Integrity Solutions on the front-end of the application process to proactively detect and prevent fraudulent claim attempts.
Support Agency’s Business Processes
Integrate with your existing agency policies, workflows and processes.
Deliver Benefits Efficiently
Ensure qualified beneficiaries receive their benefits in a timely manner.
Maximize Manpower and Resources
Increase efficiency and effectiveness by prioritizing fraud investigations and pursuing only those that meet a pre-set criteria for importance.