Accurint® for Health Care

Protect against fraudulent claims and identity fraud

Accurint® for Health Care is a streamlined, point-of-need solution for investigating claims, patients and providers. This comprehensive solution provides direct access to LexisNexis’ industry-leading data assets. Drawing upon 10,000 sources of records, LexisNexis boasts the largest collection of identifying information in the US: 15.8B consumer records, 8.6B unique name / address combinations, 3.5B motor vehicle records and 3.9B property records. Our data includes the following information particularly relevant for health care analytics: provider licensure, sanctions and certifications; hospital and group practice affiliations; criminal background; death records; family members and known associates.

Protect your organization with LexisNexis® Accurint® for Health Care, a point-of-need solution that helps you adjudicate and process claims. Investigate and prevent waste, abuse, medical identity theft and fraud, and verify patients and providers.

Investigate suspicious claims

Accurint® for Health Care provides full access to the Special Investigation Resource and Intelligence System (SIRIS) that allows National Health Care Anti-Fraud Association (NHCAA) members to collaborate with one another and share critical information on suspected fraud and abuse cases.

Verify health care providers

Accurint® for Health Care allows you to verify the identities and validate the professional licenses of health care providers nationwide, with in-depth information on board certifications, DEA licensing, legal standing and criminal records. Information about licensing entities is also available.

Fight health care fraud

Accurint® for Health Care is a strong preventive tool that reveals the connections between a business and its authorized representatives to help you evaluate potential fraud. It can also help you keep track of your claimant accounts and notify you whenever a new telephone, address or bankruptcy filing occurs.

Comply with federal regulations

The Accurint® database does not use, keep or transmit any HIPAA-related data. What's more, your use of Accurint® for Health Care does not raise compliance issues under the Health Insurance Portability and Accountability Act (HIPAA) regulations.

Provider and sanctions verification

Accurint® for Health Care helps you verify the identities and validate the professional licenses of health care providers nationwide. You can confirm names, business addresses and phone numbers, plus access in-depth information on board certifications, DEA licensing, legal standing and criminal records. Up-to-date professional and biographical data is available through the American Board of Medical Specialties (ABMS).

The Accurint® for Health Care service validates information about multiple licensing entities covering physicians, chiropractors, physical therapists and podiatrists.

Seamless access to SIRIS—the Special Investigation Resource and Intelligence System

By providing full access to the Special Investigation Resource and Intelligence System (SIRIS), Accurint® for Health Care helps National Health Care Anti-Fraud Association (NHCAA) members collaborate with one another and share critical information on suspected fraud and abuse cases. SIRIS data includes useful descriptions of health care fraud schemes and trends, as well as searchable information on individual cases.

Comprehensive fraud detection tools

Accurint® for Health Care reveals the connections between a business and its authorized representatives and alerts you to any inconsistencies that might indicate potential fraud. It can also help you keep track of your claimant accounts and notify you whenever a new telephone, address or bankruptcy filing occurs.

Accurint® for Health Care offers comprehensive access to legal and media records. Detailed reports that identify connections among people, businesses, assets and locations are also available.

Medical Records retrieval

LexisNexis® Medical Records Retrieval offers a fast, convenient and secure way to order medical records and verify your customers' medical histories.

Order, track, and retrieve medical records

A secure, web-based interface allows you to request orders and view the status of each request in real-time. The online ordering system gives you access to over 600,000 medical providers, and even allows you to place requests for x-ray duplication.

Verify your customers' medical histories

Medical Records Retrieval lets you place more specialized retrieval requests to determine whether or not an undisclosed medical condition actually exists and to discover any pre-existing conditions. It also accesses employment and business records to authenticate loss-of-earnings claims.

Comply with federal regulations

The Accurint® for Health Care database does not use, keep or transmit any HIPAA-related data. What's more, your use of Accurint® for Health Care does not raise compliance issues under the Health Insurance Portability and Accountability Act (HIPAA) regulations.

Get it now: For more information about LexisNexis® Accurint® for Health Care call 800.869.0751

Literature

  1. LexisNexis® Accurint® for Health Care

Get it now: For more information about LexisNexis® Accurint® for Health Care call 800.869.0751

Contact Us

For more information about our solution call 800.869.0751 or contact us online

Accurint® and Medical Records Retrieval 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® and Medical Records Retrieval 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.

X

Did you know?

With Accurint® for Health Care, NHCAA members can seamlessly link to SIRIS and share critical information about fraud and abuse cases.

 

Health Care Insight Exchange Blog

Connect, share and stay current on topics like health care fraud, identity management and more

Customer Resources