LexisNexis Intelligent Investigator

58 reviews

LexisNexis® Intelligent Investigator™ is an advanced post-payment analysis tool designed to detect and prioritize cases of fraud, waste, and abuse within healthcare claims. By leveraging sophisticated rules-based analytics, it identifies aberrant patterns indicative of emerging fraud schemes, enabling investigative teams to focus on the most promising leads. Key Features and Functionality: - Prioritized Workflow: Utilizes a Composite Lead Indicator (CLI) to rank leads based on potential savings and recovery probability, ensuring investigators address the most impactful cases first. - Provider of Interest Score (POI): Employs models to detect providers with irregular diagnosis, treatment, and billing patterns, highlighting outliers and augmenting data with public records such as financial, criminal, and medical sanction information. - Comprehensive Data Integration: Aggregates data from multiple sources, including licensure and certifications, to create a unified view of providers and claims. - Advanced Analytics: Applies healthcare-specific rules and predictive analytics to uncover non-obvious connections and detect emerging fraud schemes. - User-Friendly Interface: Features a web-based portal with dashboard summaries, graphs, and charts, facilitating easy navigation and interpretation of data. - Customizable Reporting: Offers hundreds of pre-formatted reports and ad-hoc reporting capabilities, allowing users to generate and prioritize cases without burdening internal IT departments. - Integration with Trail Tracker™: Seamlessly connects with LexisNexis' fraud recovery and case tracking system, reducing the time and effort required to build solid cases for full-scale investigations. Primary Value and User Solutions: Intelligent Investigator transforms the traditional reactive approach to fraud detection into a proactive, efficient process. By automating the identification and prioritization of suspicious claims, it reduces manual effort, minimizes false positives, and accelerates the investigative workflow. This leads to significant cost savings, improved program integrity, and enhanced ability to recover funds lost to fraudulent activities. The system's comprehensive data integration and advanced analytics provide investigators with actionable intelligence, enabling them to make informed decisions and effectively combat fraud, waste, and abuse in healthcare claims.

LexisNexis eCitation

23 reviews

More complete, legible and accurate electronic traffic citations in minutes

LexisNexis LexID

18 reviews

LexisNexis® LexID® is a sophisticated identity management solution designed to accurately link and manage disparate customer records across various industries. By assigning a unique identifier to each individual or entity, LexID® enables organizations to consolidate fragmented data, providing a comprehensive and unified view of their customers. This facilitates improved data quality, enhanced customer experiences, and more informed decision-making processes. Key Features and Functionality: - Unique Identifier Assignment: LexID® assigns a distinct identifier to each individual or entity, ensuring consistent and accurate data linkage across multiple records. - Advanced Linking Technology: Utilizes proprietary Scalable Automated Linking Technology (SALT) to connect and analyze multiple data entities, such as customers and vehicles, even when data is sparse or inconsistent. - Data Cleansing and Enhancement: Cleans and normalizes data, linking previously siloed records to create more robust and complete customer profiles. - Comprehensive Data Sources: Draws upon over 83 billion public records and 10,000+ data sources, regularly updated with more than 80 million new records per month, to provide accurate and up-to-date information. Primary Value and Solutions Provided: LexID® addresses the challenges of fragmented and inconsistent customer data by offering a reliable and comprehensive identity management solution. By consolidating disparate records into a single, accurate profile, organizations can: - Enhance Customer Understanding: Gain deeper insights into customer identities and behaviors, enabling more personalized and effective interactions. - Improve Operational Efficiency: Streamline workflows by reducing duplicate records and ensuring data accuracy, leading to cost savings and improved service delivery. - Strengthen Fraud Prevention: Accurately verify identities and detect suspicious behaviors, thereby fortifying security measures and reducing fraud risks. - Support Regulatory Compliance: Maintain data hygiene and integrity, aiding in compliance with industry regulations and standards. By leveraging LexID®, organizations can transform their data management practices, leading to enhanced customer experiences, improved risk assessment, and a competitive edge in their respective markets.

LexisNexis Carrier Discovery

15 reviews

Identify insurance carrier information quickly and easily

LexisNexis RiskView

15 reviews

LexisNexis® RiskView™ is a comprehensive suite of credit risk assessment solutions designed to enhance lenders' ability to evaluate consumer creditworthiness. By integrating alternative data sources—including non-credit events and alternative credit inquiries—RiskView™ provides a more holistic view of an individual's financial behavior, enabling more informed lending decisions. Key Features and Functionality: - Alternative Data Integration: Incorporates non-traditional data such as professional licenses, public records, and asset ownership to assess credit risk. - Comprehensive Consumer Coverage: Evaluates over 90% of traditionally unscorable applicants, including those with thin or no credit files. - Enhanced Predictive Insights: Offers over 350 next-generation attributes that provide granular insights into consumer behavior. - Flexible Solutions Suite: Includes products like RiskView™ Scores, RiskView™ Attributes, and RiskView™ List Generation to support various stages of the customer lifecycle. Primary Value and User Benefits: RiskView™ empowers lenders to expand their addressable market by identifying creditworthy individuals who may be overlooked by traditional credit assessments. This leads to increased approval rates, more competitive and profitable offers, and improved risk management. By leveraging alternative data, lenders can make more confident decisions, enhance portfolio growth, and promote financial inclusion.

LexisNexis MarketView

12 reviews

LexisNexis MarketView delivers medical claims-based intelligence to healthcare organizations across the United States.

LexisNexis Accurint

11 reviews

Accurint Crime Analysis provides crime pattern analysis, predictive analytics, crime mapping and reporting to crime investigations and intelligence analysis by assisting you in pattern identification, data mining, analysis and prediction of serial events and more.

LexisNexis AML Insight

10 reviews

Rely on LexisNexis AML InsightTM to deliver leading content and technology to speed identity verification, strengthen anti-money laundering (AML) compliance, fortify risk mitigation and support enhanced due diligence for key Know Your Customer (KYC), Customer Identification Program (CIP) and Bank Secrecy Act (BSA) regulations.

LexisNexis IDVerse

10 reviews

Be sure who your customers are. Verify anyone in moments. With accurate and effective biometric digital verification.