VerifyHCP

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Maintain provider data and directory accuracy

VerifyHCP is a groundbreaking provider data management and provider directory compliance solution that goes beyond answering federal and state regulations.

Brought to the market by LexisNexis and the American Medical Association (AMA), VerifyHCP provides a systematic approach to provider data and directory management. Using machine learning, the industry’s leading source of provider information and more than a decade of data management and stewardship experience, this provider directory solution goes beyond regulatory requirements as they relate to maintaining the accuracy of published directories.

The VerifyHCP solution is a hosted, crowd-sourced, real-time data management and analysis solution that optimizes data insights for payers. The benefits of using this platform is speed, scale and maturity of the infrastructure leveraged.  VerifyHCP provides data exchange standards to enable seamless storage and management  of your provider network information securely in the LexisNexis environment.  At its core, is the VerifyHCP portal. The portal allows practices and office managers to easily attest engage in the provider data management workflow.

Key Features of VerifyHCP:

LexisNexis® Master Referential Database

VerifyHCP leverages >1,000 sources to build an accurate view of a provider. This view covers more than 8.5M providers.

Attestation Portal
The portal enables practice managers or designated staff to attest physician data. It can also be optimized for use with large groups.

Machine Learning
VerifyHCP uses machine learning to analyze claims activity to identify active and inactive locations and group affiliations. Client may also contribute their claims to facilitate final determination of action to take on non-responders.


Key Benefits of VerifyHCP:

Strategic Outreach
Customers can conduct campaign outreach in accordance with provider directory regulations or based on alerts from VerifyHCP claims-based analytics.  VerifyHCP also fulfills the provider attestation needs through a hosted portal with prepopulated information.



Crowd Sourcing
Through crowd-sourcing, VerifyHCP enables providers to verify information at one time for all participating plans.


One solution does it all. VerifyHCP is a flexible solution for an evolving provider data environment.

VerifyHCP facilitates compliance but more importantly provides a comprehensive approach to managing the ever changing world of provider data. VerifyHCP is a central and critical component to any provider data management strategy enabling provider enrollment and credentialing; network adequacy and compliance.


The LexisNexis referential database allows customers to validate roster information, and surface critical insights surrounding affiliations and implications to network adequacy. This solution can also identify inactive providers and locations without the need for outreach, resulting in an immediate 10-20% improvement in provider directory accuracy. It can confirm basic provider demographics of status, address and phone even for difficult-to-reach provider populations, such as delegated groups.

In this evolving environment, payers need support to stay compliant. Partner with LexisNexis Health Care today to solve your provider data and directory challenges.

Machine Learning

Analyze claims to identify active and inactive locations and group affiliations.

Accurate Data

Ingests >1,000 sources to build an accurate view of a provider.

Data Exchange

Enables providers to verify information at one time for all participating plans.

Network Insights

A central and critical component to any provider data management strategy.
White Paper

Use Claims Data to Improve Provider Directory Accuracy

Infographic

Inaccurate Physician Directories Have a Direct Impact on Patients

Infographic

Provider Directory Accuracy

LexisNexis® VerifyHCP 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® VerifyHCP cannot 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.