Inconsistent views between agencies and vendors make Medicaid quality assurance an uphill battle. You oversee multiple managed care organizations (MCOs) each with their own databases, processes and tech stacks. All important information — but its value depends on having a holistic 360-degree view to improve outcomes.
Our solutions streamline data access from different sources and amalgamate it into meaningful and actionable insight. It’s the strong data foundation and control you need to optimize the delivery of services and program integrity — while shepherding higher quality care and population health improvement.
Comprehensive Coverage of Providers
Access data on more than 9M U.S. healthcare practitioners and 1.5M facilities
See connections between people and providers, uncovered by our proprietary LexID®️ unique identifier that resolves identities with over 99.99% precision
Rely on our continuous data monitoring that activates more than 80M record updates per month from public records, internal government databases, credit bureaus and alternative data sources
Detect fraudulent claims and identities using physical and digital insights and proven analytics
Learn MorePinpoint fraud with confidence
Learn MoreIdentify hidden relationships that may indicate healthcare fraud
Learn MoreTrack cases and improve recovery
Learn MoreVerify IDs and professional credentials instantly
Learn MoreAuthenticate members and providers
Learn MoreKnow your providers, reduce risk, and prevent fraud.
Learn MoreIdentify aberrant patterns in provider behavior
Learn MoreAuthenticate customer identities in real-time
Learn MoreIdentify improper payments before disbursement
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