InstantID® for Healthcare

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Minimize your exposure to fraud from enrollment to encounter, one identity at a time.

LexisNexis® InstantID® for Healthcare enables healthcare organizations to manage member identities from enrollment to encounter. We do this by verifying identities in health plan exchange enrollment files to avoid fines and unnecessary broker commissions.

Whether it’s enrollment that originates from an individual or a broker, or ongoing fraud, waste and abuse, LexisNexis® InstantID® for Healthcare allows you to reveal inconsistencies in applicant and account information that are not evident in standard verification and validation processes. The key to detecting applications that may warrant further investigation for healthcare fraud is the ability to analyze and verify the enrollment data being submitted.

InstantID for Healthcare finds potential enrollment fraud to save your health plan money using LexisNexis identity data and proprietary linking technology.

Instant ID for Healthcare Process  

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InstantID® for Healthcare uses LexisNexis identity data, proprietary LexID® linking technology and the HPCC computing platform to determine the validity and veracity of individuals being enrolled into plans via the healthcare Exchange, by brokers, detecting potential healthcare fraud. Customers submit a batch file of enrollees to LexisNexis and InstantID for Healthcare quickly identifies and flags suspicious enrollments for further fraud investigation.

Benefits of InstantID for Healthcare

instantid for healthcareAvoid possibly paying millions of dollars in broker commissions and federal fines while adhering to CMS compliance standards.

instantid for healthcareQuickly identify suspect enrollees and brokers who facilitate healthcare fraud on the Exchange.

instantid for healthcareGain significantly more insight into enrollees beyond typical verification.

Our unique approach to data and identity analytics provides significantly more insight into enrollees by going well beyond the basic review process to verify and correct layers of information, including:

instantid for healthcare

Date of birth (age)

instantid for healthcareDate of death

instantid for healthcareSuspect activity associated with addresses provided

instantid for healthcareOther suspect activity and fraud indicators

Get it now: For more information about LexisNexis® InstantID® for Healthcare, call 866.396.7703.


Balancing Cybersecurity and Member Engagement

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LexisNexis® InstantID® for Health Care 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, LexisNexis® InstantID® for Health Care may not be used in whole or in part as a factor in determining eligibility for credit, insurance, employment or another permissible purpose under the FCRA. Due to the nature of the origin of public record information, the public records and commercially available data sources used in reports may contain errors. Source data is sometimes reported or entered inaccurately, processed poorly or incorrectly, and is generally not free from defect. This product or service aggregates and reports data, as provided by the public records and commercially available data sources, and is not the source of the data, nor is it a comprehensive compilation of the data. Before relying on any data, it should be independently verified.