Provider Data Enhancements

Standardize, cleanse and augment provider information


LexisNexis Provider Data Enhancements matches, links, de-dupes and augments provider records with the most current information available from the LexisNexis Master Provider Referential Database.

provider data enhancementsProvider information is always changing. Whether it is contact information or affiliations, provider data can become quickly outdated with errors and data omissions. Healthcare organizations need the ability to standardize, clean, de-dupe, and augment provider profile information quickly and with confidence. LexisNexis Provider Data Enhancements is a two-way data exchange service that allows healthcare organizations the ability to get direct feedback on their data, while supplementing their provider records with LexisNexis’ augmentation and additional records.

Provider Data Enhancements gives your organization better results with correct, current and comprehensive healthcare provider data and auditing capabilities.

Whether it's ensuring provider directory accuracy, giving sales & marketing accurate provider information to improve sales outreach, or streamline ongoing provider data management, seamless and automated access to accurate and complete data is critical. Our hosted solution gives you a systematic way to keep your provider data accurate and up-to-date while significantly reducing operating costs. By identifying and replacing inaccurate, duplicate and incomplete records you can be confident that your provider information will be right today and tomorrow and into the future.

How Does Provider Data Enhancements Work?

Our two-way data exchange allows clients the opportunity to get direct feedback on their data, while supplementing their records with LexisNexis’ augmentation and additional records.  Leveraging the LexisNexis Master Provider Referential Database, provider records are matched, then augmented, appended, corrected and de-duped. Customers can then maintain a cycle of data validation and updates, which ensures that their data is accurate and up-to-date.

provider data enhancements

The Benefits of Provider Data Enhancements Include:

  • Reduced IT burden associated with ongoing data management efforts
  • The ability to audit data integrity consistently to ensure quality provider data feeds downstream workflows.
  • Confidence when publishing provider information to patients or internal stakeholders like sales, contracting and provider network management.
  • Improved compliance and member satisfaction by maintaining current provider directories or customer data.
  • More efficient claims processing through increased auto-adjudication.

Key Features Include:

  • Provider data expertise: LexisNexis is 1 of 2 companies in the U.S. that aggregate provider data from every state across the U.S.
  • Our Master Provider Referential Database maintains over 160 million data records linked to over 8.5 million provider profiles.
  • Numerous data points are drawn from thousands verified sources.
  • Access to additional sources including board certs and consumer attributes.
  • Proprietary algorithms that proactively monitor data currency.

Contact Us to Learn More


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LexisNexis® Provider Data Enhancements 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® Provider Data Enhancements 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.