It provides healthcare organizations with an efficient means to research new providers, health systems and affiliations to help claim/service operations, or assist with credentialing and provider data maintenance. Reliable and comprehensive provider data is essential to process claims and maintain workflows like network management, compliance, out-of-network provider screening and review, credentialing, and outreach. It helps healthcare organizations keep systems of record up to date and to fill in gaps in the existing data.
Approximately 80% of all prescriptions in the US are processed through LexisNexis Provider Data Validation for verification before the prescription is filled. The need for this validation process is critical since provider information is constantly changing. Our data scientists have shown that:
The process to maintain this information is complex and costly, from reconciling duplicate records to filling in missing data such as NPI numbers, contact information, sanctions and more. In each provider search, users can find detailed demographic data for healthcare providers.
Key features of LexisNexis Provider Data Validation include:
Get it now: For more information about LexisNexis® Provider Data Validation, call 866.396.7703.