Identity Management for Healthcare

 

Verify, resolve and enrich member and patient identities to reduce risk, improve data integrity and streamline workflows for health plans, retail pharmacies, life sciences and healthcare providers.

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Identity Management for Healthcare

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Create a Single Source of Truth for
Member and Patient Identities

Fragmented individual journeys. Incomplete records across disparate systems. Ever-growing digital security risk. While verifying and managing member and patient identities faces more roadblocks than ever, it's absolutely critical for healthcare organizations to get it right.

Identity management for healthcare from LexisNexis® Risk Solutions delivers end-to-end identity verification, resolution and enrichment. Together, these help you build more complete patient and member profiles, enabling both greater efficiency and better care.

Identity Verify Resolve Enrich

 

Verify: Assess User Identities and Detect Potential Threats in Real Time

Prevent fraud and build trust with every digital interaction. LexisNexis Risk Solutions delivers real-time identity verification from account registration and login to ongoing portal access for patients, members and staff. For further protection, we layer near-instantaneous risk analysis with verification and authentication measures to help detect  potential threats and assess user authenticity in real time.

Identity Verify
Identity Verification Matters

 

Why Identity Verification Matters

differentiate genuine users from high-risk threatsDifferentiate genuine users from high-risk threats quickly and easily

safeguard critical dataSafeguard critical data and systems from threat actors

improve patient engagementImprove patient and member engagement through secure, friction-right user experiences

digital portal adoptionIncrease digital portal adoption, reducing operational burden and administrative costs

What Sets our Identity Verification Apart

HIPAA Compliant defense capability

Multi-layer defense capability, leveraging best-in-class industry standards, supporting HIPAA compliance

risk-based verification

Real-time risk decisioning platform that applies risk-based verification to balance security and user experience

identity proofing

Flexible and configurable tools that integrate with existing workflows, including leading IAM platforms

 

Resolve: Develop Unique, Persistent Patient and Member Profiles

Create unified patient and member profiles that help streamline operations across your organization. Help eliminate duplicates and errors, building reliable, actionable records from every interaction.

Resolve Identity
Identity resolution

 

 

Why Identity Resolutions Matters

accurate view of patient populationsCreate a more reliable view of patient and member populations

protect identities Protect identities and health information with non-SSN identifiers

de-duplicate recordsMerge and de-duplicate records to improve efficiency and standard of care

35%

of All Denied Claims Result From
Inaccurate Patient Identification2

 

Duplicate Records Can
Increase Care Costs by

$1700-$1950

per Patient1
Identity Resolution Errors
Cost Hospitals an Average of 

$2.5 Million

in Lost Payments Annually2

What Sets Our Identity Resolution Apart

propriety technology

Our proprietary technology links disparate data with 99.9% precision, assigning unique identifiers

unified identity records

Persistent, unified identity records help improve record matching and interoperability

Demographic Intelligence

Robust demographic intelligence ensures names, addresses, emails and phone numbers are regularly updated

 

Enrich: Enhance your resolved records with insights to drive action across workflows

Link actionable insights on essential points in a patient or member's journey to build a more robust profile. Social determinants of health, behavioral insights and even consumer-managed clinical insights enable better care and support better engagement and outcomes.

Identity Enrichment
identity enrichment

 

 

Why Identity Enrichment Matters

seamless data exchangeEnable seamless data exchange across systems and organizations

regulatory complianceSupport operational compliance measures

improve accuracy patient recordsStreamline enrollment and support billing, reconciliation and outreach workflows

What Sets Our Identity Enrichment Apart

consumer-managed clinical data

Critical, actionable insights on patient journeys support a 360-degree view of patients and members

unified identity records

Social, behavioral and consumer-managed clinical data drives deeper understanding of the complete patient journey

proprietary technology links

Transform care coordination strategies with insights that connect lifestyle, health and outcomes

Drive Better Decisions With a Single Source of Identity Truth

Identity management from LexisNexis Risk Solutions can turn fragmented, disparate records into unified, enriched profiles across patient and member lifecycles.  With more than 50 years of deep data management and identity resolution expertise, we offer the right combination of unparalleled data resources and award-winning technology to serve your identity management needs.


Identity Management Solutions

You Can Trust

Detects suspicious behavior by analyzing digital user patterns through combining device assessment, behavioral biometrics and a contributory network to verify both the person and device involved in transactions.

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Transform your engagement efforts by improving and maintaining patient and member data.

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Enabling a deeper understanding of how social drivers of health impact an individual's access to care, health outcomes and healthcare costs.

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identity management solutions

Discover the Power of Trusted Patient Identity Management

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1Journal of AHIMA, 2024. How HI Professionals Can Play an Active Role to Improve Patient Matching. https://journal.ahima.org/page/how-hi-professionals-can-play-an-active-role-to-improve-patient-matching

2Black Book Research, 2021. Improving the Patient Identification Process and Interoperability to Decrease Patient Record Error Rates. https://www.blackbookmarketresearch.com/blog/improving-the-patientidentification-process-and-interoperability-to-decrease-patient-record-error-rates