Health Care Solutions for Claims Compliance and Employment Screening

Health Care Solutions for Claims Compliance

According to the National Health Care Anti-Fraud Association, $51 billion of America's annual health care expenditure is lost to fraud and overcharging. Conducting thorough background checks and screenings are vital for both health care claims investigators and compliance professionals to help avoid waste, abuse, medical identity theft and fraud, and verify the patients, providers and vendors with which you do business.

LexisNexis® offers comprehensive, HIPAA-compliant health care solutions to help you more quickly and easily conduct the due diligence necessary to reduce risk and improve operational efficiency, profitability and regulatory compliance. Choose from the below or visit our Health Care Solutions page.

LexisNexis® Health Care Claims Solutions

Process and investigate claims more efficiently from point of service through claim outcome with our powerful fraud detection, identity verification and claims investigation tools:

Accurint® for Health Care

LexisNexis® Health Care Compliance Solutions

Efficiently conduct enhanced due diligence, comply with regulations and reduce fraud risks with instant access to billions of records, watch list screening and powerful search and analytics technology:

Bridger Insight™ XG

DISCLAIMER: Accurint® for Health Care and Bridger Insight XG 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, Accurint® for Health Care and Bridger Insight XG 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.

 

These services are not for employment, credit, insurance or government benefit eligibility. To learn more about FCRA/Fact Act Compliance, click here.