Provider Data Management

Enhance Efficiency and Optimize Workflows

Improve your operational efficiencies with reliable provider data management.
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Provider Data Management Solutions

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Provider Data is the Foundation of the Healthcare System

Healthcare organizations need accurate provider data to effectively support patient and member needs, verify prescriber authority and complete everyday operational tasks.

Rapid changes and the absence of a centralized data source complicate the management of provider information, making manual processes both time-consuming and susceptible to errors. This degradation in data quality can lead to errors, missed revenue opportunities, compliance risks and overall dissatisfaction among patients and members.

 

Provider Data Management

 

Your Organization’s Data Management
Challenges

Incomplete or inaccurate provider data creates challenges for healthcare organizations, disrupting operations and patient care. Without a reliable data foundation, organizations struggle to:

Healthcare DirectoriesMaintain Directories for Compliance:  Outdated information puts compliance at risk and can disrupt patient care continuity.

prescriber complianceVerify Prescriber Compliance:   Incomplete data can slow prescriber verification, risking medication delays and compliance issues.

data management

Streamline Data Management:   Fragmented provider details complicate the workflow, reducing efficiency and increasing the chance of errors.

How We Help You  Gain
a Reliable View of
Providers and Facilities

Provider Data Management offers industry leading identity resolution, profile enrichment and access to the largest collection of public and proprietary data to give you a comprehensive view of providers and facilities.

 

 

precision linking Precision Linking Our proprietary linking technology resolves a collection of public and proprietary data sources to create a single provider identity with 99.9% precision.

profile cleansingProfile Cleansing, Appending and Enrichment Enrich your workflows with in-depth profiles of healthcare providers from physicians to nurse practitioners and facilities, including acute care hospitals and home health agencies. We layer in critical details like demographics, credentials, network affiliations and organizational relationships, ensuring your data is comprehensive and actionable.

operation efficiencyPrescriber Verification With near-real time verification, pharmacies can confirm prescriber authority in sub-second response times, reducing delays at the point of sale. This includes checks across prescriptive authority, sanctions, DEA registration, state licensing and more, with customizable reporting and monitoring tools to mitigate risks across locations.

provider data management linking

What You Can Expect

golden record

Maintain a Golden Record

Build and sustain a reliable, up-to-date provider profile to create a solid foundation for healthcare operations.
operation efficiency

Boost Operational Efficiency

Simplify provider data management to reduce manual checks and errors, lightening your administrative load.
Compliance Guidelines


Address Compliance Guidelines

Maintain up-to-date provider directories and prescriber compliance guidelines to address regulatory standards.
care access

Improve Care
Access

Connect patients to care with reliable provider data that reduces barriers caused by outdated information.
business development

Support Business Development Initiatives

Leverage provider demographics and affiliations to build strategic partnerships
and unlock new opportunities.

Solutions You Can Trust

LexisNexis® Risk Solutions has been curating data on millions of U.S. healthcare providers for more than five decades. Our patented linking technology resolves to unique provider identities to deliver valuable, more reliable insights for organizations to tackle challenges and reach their goals.

Streamline compliance with VerifyRX®. Verify prescribers in real time and integrate seamlessly into your pharmacy or PBM workflow.   
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Empowering healthcare organizations with complete, current and comprehensive provider data.
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Streamline and optimize your provider data with ease. LexisNexis® ProviderPoint® sets the standard for healthcare provider file cleansing, enhancement, and integration. 

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Standardize, cleanse, and augment provider info with LexisNexis. Ensure accurate, de-duped records using LexisNexis® Master Provider Referential Database. 
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Research new providers, health systems and affiliations to help claim and service operations, assist with credentialing and provider data maintenance.
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Remain competitive and support innovative business strategies to better serve patients, providers and communities through medical claims-based intelligence.
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provider data management solutions

Discover the Power of Data for Good

Contact Us to Learn More

 

Strengthen Every Decision With Actionable Insights

We help organizations achieve goals, improve operations and drive better health outcomes.

Comprehensive Data

We curate industry-leading clinical, consumer, de-identified claims and provider data and social determinants of health data to enable organizations to solve their most complex challenges.

Powerful
Analytics

Our data science and patented algorithms enable predictive modeling and AI applications to make strategic business decisions to optimize network efficiency, improve member outcomes and reduce business costs.

Advanced
Linking

Our patented linking technology and clustering method ensures more precise matching over time for a comprehensive view of consumers and providers.
Accurate Provider Data white Paper

 

 

The Path to More Accurate Provider Data

Learn how creating a "golden record" of data enables insights and better provider data management. Download the paper to learn how.
Read Now

Provider Data Management Insights and Resources

Pharmacy Patient Journey
Infographic

Pharmacy Workflow Journey

Our solutions enable reliable data and actionable insights needed to verify prescribers in real time, protect patient safety and privacy, and assess opportunities to offer new services to become critical community health partners.
provider density challenges
Blog Post

Provider Density Challenges

Healthcare organizations must address provider density challenges but often lack current and complete provider data.
Provider Data Management
Blog Post

Provider Data: A Persistent Challenge That Can Become Your Source of Truth

Expectations for provider data are transforming to help support health disparities. Read our blog to learn what to expect and how to build your foundation for more reliable provider data.

Contact Us

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