Provider Data Enhancements

Provider 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 Whether it is contact information or affiliations, provider data can become quickly outdated with errors and data omissions.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.

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.

• 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.

• 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.