LexisNexis-Spectrum-Analysis

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Identify risks early to take informed, defensible actions. 
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LexisNexis® Spectrum Analysis

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A top-level risk assessment that can summarize key findings and shows where risk is concentrated — across participants, providers, retailers, and related entities — from policy to payment.

LexisNexis® Spectrum Analysis brings clarity and control to eligibility, integrity, compliance, and ongoing operations.

BROCHURE: Learn how Spectrum Analysis delivers program-wide risk visibility

Why This Matters

Government agencies are under unprecedented pressure to strengthen payment integrity and reduce improper payments.

Benefit programs are operating under sustained pressure. Agencies are often expected to protect public funds while managing constrained staff capacity, increasing improper payment scrutiny, expanding digital access, and increasingly sophisticated fraud. 

At the same time, agencies must adapt quickly as policies, funding structures, and federal guidance continue to evolve. Traditional, program-by-program approaches can make this harder, often leaving blind spots when risk spans participants, providers, retailers, and digital interactions. 

Capabilities That Drive Stronger Program Integrity

To operate effectively, agencies need more than isolated checks or point in time reviews. They need a connected view of risk across the program lifecycle. Spectrum Analysis can help agencies: 

  • Verify identity and validate critical data with greater accuracy
  • Detect and address integrity risks across programs
  • Uncover sophisticated fraud schemes
  • Maintain compliance as policy and funding rapidly change
  • Operate programs efficiently at scale
  • Support more focused investigator efforts through clearer risk prioritization
  • Strengthen readiness for audits and reviews by improving risk visibility 

Traditional approaches limit visibility and weaken oversight, leaving critical blind spots across each resident and recipient populations. These gaps make it harder to prevent fraud, reduce overpayments, address underpayments, and ensure accurate identity data. 

 



What agencies need now:

A unified, data driven view of risk that brings visibility across participants, providers, retailers, and related entities—so agencies can identify where risk may exist, prioritize attention, and support informed oversight decisions as programs evolve.

 

Identify implausible cases earlier and surface indicators of
potential fraud

Highlight identity‑related risk patterns across programs
and populations

Detect cross-program risk, including across  populations such as social services, Medicaid, labor and workforce programs, to name a few

Support oversight initiatives and program reviews as
requirements evolve

Surface areas of payment risk and error to help inform focused review and prioritization


How it Works:

Identify hidden patterns, data gaps, and drivers of improper payments and payment errors using advanced verification.
Translate insights into prioritized actions that improve payment integrity, strengthen identity verification, and help agencies prevent and detect fraud earlier.
Preserve awareness of evolving risk patterns as program volumes, populations, or policy requirements change—supporting clarity into where attention may be needed.

What Spectrum Analysis Reveals

Spectrum Analysis uncovers high-impact risk indicators often missed by siloed systems:

Visibility into identity related risk patterns across programs and populations

Out-of-state residency conflicts 

Deceased individuals listed
as active

Incarceration indicators

High-risk or unverifiable addresses

Dual participation across programs

Evolving risk patterns across identity, eligibility, and participation data

Result: Earlier visibility into implausible cases provides greater clarity into where potential risk may exist across programs and payment activity, helping agencies determine where additional review may be warranted.


LexisNexis® Spectrum Analysis can detect risk on:

  • Detect undisclosed sanctions, criminal records, and financial distress
  • Reveal hidden networks and potential collusion
  • Identify phantom providers and duplicate billing
  • Strengthen payment integrity and reduce improper payments

  • Patterns and inconsistencies in identity and participation data 
  • Residency or incarceration conflicts 
  • Deceased individuals listed as active synthetic and impersonated identities
  • Out-of-state residencies 
  • High-risk addresses (vacant, non-residential, unverifiable) Incarceration indicators 
  • High wealth indicators 
  • Dual participation across program
 

  • License and affiliation validation indicators
  • Location and transaction anomalies 
  • Activity indicators that may be associated with elevated retailer risk
 

  • License and affiliation validation indicators
  • Cross-program exposure 
  • Risks impacting eligibility and payments 
 

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10,000+referential data sources

Advanced entity resolution and linking technology

SIU-backed investigative insight

Start with Clarity
See where risk may be hiding across your programs and take action to strengthen payment integrity, improve verifications, reduce improper payments, and surface indicators of potential fraud.

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Outcomes That Matter

 Spectrum Analysis empowers agencies with:

  • Insight to reduced improper payments
  • More focused investigator effort
  • Stronger audit and Payment Error Rate (PER) readiness
  • Improved data quality
  • Protection of eligible participants
  • Readiness for future policy shifts

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