Health Care

Data Management and Services

Accurate and complete provider and member information powers almost every health care payer's operations. Unlock the power of data and empower transformation through insight building with LexisNexis® Data Management and Services.

Our best-in class member and provider data management services drive patient engagement, reduce fraud, enhance provider and member data-driven workflows, drive down administrative costs tied to return mail and unsuccessful outreach efforts, and most importantly ensure health plans are basing decisions on the most up to date information available on the members and providers interacting across their system.

LexisNexis Data Management and Services leverages:

  • 37 billion total records from 10,000+ different sources
  • 8.6 billion unique name and address records
  • Master data files from over 60 health plans
  • Medical claims activity representing ~60% of all US claims transactions
  • Over 133 million provider transactional verification touch points per month (over 1.6 billion annually)
  • 6.5 million profiles covering universe of individuals and entities that can write claims in the US health care system

  1. Analysis of Health Insurer Manual Collection of Provider Data
    It costs more to have poor provider data than to fix it.
    A case for an automated process of continuous data validation and update
  2. Health Insurance Exchanges and Provider Directory Data Challenges
    Empowering exchange members to make smarter health care decisions.
    Advanced tools for a powerful, customer-friendly HIX portal
  3. How to Select an Information Solution Provider
    Partnering to reduce costs, improve margins and enhance member and provider relationships.
    Key factors in choosing an information solutions vendor
  4. A Business Case for Fixing Provider Data Issues
    Save money, reduce waste and improve member services.
    Proactive provider data management

Next Step

To learn more about our Data Management and Services solutions or to receive pricing information:
Call us at 866.396.7703
Fill out our contact form.

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