VerifyRx™

Real-time prescriber verification


LexisNexis® VerifyRx™ provides real-time compliance checks on all prescription transactions before they are transmitted to payers, helping pharmacy chains reduce regulatory risk and helping Pharmacy Benefit Managers (PBM) increase the percentage of paid prescription claims.

VerifyRx™ processes millions of transactions a day, updating data on prescribers in real-time, including Drug Enforcement Administration (DEA) and State data (when available) and daily National Technical Information Service (NTIS) data.

VerifyRx™ is a real-time, compliance-based validation solution designed specifically for pharmacy and PBMs. The highly configurable and responsive tool identifies potential claims submission errors prior to dispensation.


Benefits

  • Audit defense and traceability:
    • All transaction data and configuration changes logged in real-time
    • Traceability to state and federal source data for each transaction
    • Monitoring and reporting of compliance performance

  • Reliable framework with comprehensive edits and advanced analytics:
    • Industry leading technologies, leveraging widely accepted open-source infrastructure
    • Sub-second response times enabling near real-time input
    • High availability architecture and fully scalable environment

  • High flexibility to meet legal, compliance and business needs:
    • State and Federal Prescriptive Authority at the taxonomy and credential level
    • Federal and State sanctions data
    • DEA and State license status

  • Real-time data:
    • Daily updates to DEA and State data (when available) and NTIS file


Features

LexisNexis VerifyRx™ enables customers with: 
Unique Data Assets

  • Maintaining information on more than 8.5M providers
  • 400+ routine feeds from state license boards
  • Board certification data from the American Board of Medical Specialties (ABMS)
  • DEA data from the Drug Enforcement Administration
  • Federal sanctions and exclusions from the List of Excluded Individuals/Entities (LEIE), SAM, FDA, DEA
  • State Medicaid Exclusions, NPIs from NPPES
  • Private IDN and GPO data feeds

Platform & Services

  • Leveraging proprietary algorithms that proactively monitor data currency
  • HPCC™ big data processing
  • Industry/solution focused Professional Services

Get it now: For more information about LexisNexis® VerifyRx™, call 866.396.7703.

LexisNexis® VerifyRx™ 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 VerifyRx™ 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.