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. 

Federal Government Healthcare

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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.

Insights and Resources

Endorsed by the ABA

LexisNexis® Risk Solutions’ Identity Solution is endorsed by the American Bankers Association.

SAFE-BioPharma Member

LexisNexis® Risk Solutions is an approved member of the SAFE-BioPharma Trust Framework.

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

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