LexisNexis® Claims Medical Discovery

An effective treatment for medical provider fraud


Medical claims fraud costs carriers hundreds of billions of dollars annually.

Implement a provider-level strategy to help identify fraud faster with powerful data and analytics.

More Information

Claims Medical Discovery


Benefits

Identify Questionable Behavior
Elevate your strategy and resolve provider identity. Apply expanded data and advanced analytics to identify fraud sooner.

Protect Against Losses
Get unprecedented clarity and insight into provider behavior. Use this information to proactively reduce fraud losses and protect your business.


Features

Get Deeper Insights
Compare provider behavior across carriers for deeper insights into potential fraud. Get a clearer picture of provider practices and identities.

Gain a More Comprehensive View
Access one of the nation's largest medical provider databases. Use linking technology to reconcile discrepancies and expose possible fraud.

Expand Your View
Aggregate your own data more effectively. Layer your data with other carriers' data to reveal patterns that point to possible fraud.

Act with Intelligence
Apply advanced analytics and linking technology to help identify medical provider fraud and drive more informed decisions.

Accelerate Fraud Detection
Reveal suspicious behavior patterns that would otherwise be difficult to recognize. Be able to better detect which providers warrant further investigation.

Build a Powerful Case
Monitor suspicious providers. Drill down to bill-level data to conduct more detailed investigations into potential medical provider fraud.

The Claims Medical Discovery service does not constitute a "consumer report" as that term is defined in the federal Fair Credit Reporting Act, 15 USC 1681 et seq.(FCRA). Accordingly, the Claims Medical Discovery service may not be used in whole or in part as a factor in determining eligibility for credit, insurance,