Maintain program integrity by preventing fraud, waste and abuse

Stop improper payments with a holistic, identity-driven approach to program integrity and fraud investigation. 

Program Integrity

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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.

LexisNexis Delivers

Clean Data

Ensures your agency’s list is current and correct by cross-referencing and matching layers of disparate data on your beneficiaries.

Fraud Indicators

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.

Eliminate Pay-and-Chase

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.

Insights and Resources

White Paper

Reduce Duplicate Participation/Benefits and Fraud in SNAP

Improve the integrity of your health and human services programs with a multi-state contributory solution.
Report

Improving Program Integrity Across States and Territories

Final USDA PCG report on potential annual National Accuracy Clearinghouse (NAC) cost savings.
Blog Post

How Can States Boost Program Integrity Efforts?

Detect and prevent fraud with identity proofing, entity resolution and fraud discovery capabilities.
Brochure

Preventing Healthcare Provider Fraud and Improper Payments

Our Provider Integrity solution can assist government healthcare programs with both provider enrollment and program integrity efforts.
Brochure

Identity Management Evolved

Stop false identities from entering your system and improve program integrity with an identity management solution.

We believe in the power of data and analytics
to manage risk & uncover opportunity.

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