Improve the integrity of your government healthcare programs
Use data, analytics and identity-driven solutions for actionable insights, and to detect and prevent fraud, waste and abuse.
LexisNexis® Risk Solutions offers industry-leading identity management and payment integrity solutions for government healthcare programs.
By leveraging our extensive data, analytics and ability to link disparate data to over 700 million unique identities, we’re able to help federal agencies operate efficiently and prevent program fraud, waste and abuse.
LexisNexis Delivers
Accurate Provider Information
Our comprehensive, correct and current healthcare provider information is built from more than 10,000 data sources.
Data Provenance and Security
Unique identifiers provide a detailed, historical record of all data and its origins ensuring data quality.
Linking Technology
Disparate data sets housed in our secure High Performance Computing Cluster (HPCC) systems can be linked for additional insights.
Population Health Data
LexisNexis® Risk Solutions social determinants of health data goes beyond income and education to create understanding and opportunities to advance program success.
Remote Identity Proofing
Real-time, knowledge-based, multi-factor authentication confirms a patient’s or provider’s identity in seconds and protects sensitive information in health records.
Achieve These Results
Detect and Prevent Fraud
Verify that the right providers are paid for the appropriate services on eligible beneficiaries using data and advanced linking technology.
Understand Provider Relationships
Gain a 360-degree view into healthcare providers in your network and visualize relationships across IDNs, ACOs, payers and healthcare systems.
Unveil Large Fraud Schemes
See complex connections and unravel associated fraud schemes by linking activity between providers, payers and claimants through relationship mapping.
Share Information with Confidence
Resolve identities to a unique individual, allowing you to share health and benefit information across departments, agencies and alternate providers.
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We believe in the power of data and analytics
to manage risk & uncover opportunity.
Products You May Be Interested In
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Instant Verify
Verify IDs and professional credentials instantly
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Multi-Factor Authentication for Healthcare
Authenticate members and providers
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Provider Integrity Scan
Know your providers, reduce risk, and prevent fraud.
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InstantID® Q&A
Authenticate customer identities in real-time
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