Health Care


By Segment

By Capability

In today's evolving health care environment, health insurers are expected to meet their own business goals while complying with the mandates of the three pillars of the Affordable Care Act (ACA):

  • Improving outcomes
  • Managing access
  • Reducing costs

To support the needs of health insurers, LexisNexis offers broad portfolio of solutions that leverage our industry-leading repository of provider and consumer data, claims data and world-class analytics and technology. Combining these assets our solutions help:

  • Improve and maintain member and provider data
  • Predict health risks and outcomes in the absence of clinical history data
  • Bolster marketing, outreach and patient engagement efforts by providing current demographic data
  • Reduce fraud risk by identifying complex and hidden relationships across individuals and care settings
  • Comply with mounting regulation by providing automated and seamless data technology solutions

  1. Emerging Health Care Trends and the Effects on Payers
    Remaining competitive in the new care delivery landscape with analytics and predictive modeling
  2. Five Factors for Payers to Consider as U.S. Health Care Delivery Evolves
    The role of technology in meeting the challenges of new care constructs
  3. The Real Cost of Health Care Fraud - And New Ways to Fight It
    Stopping the Flow of Health Care Fraud with Technology, Data and Analytics
  4. The Rise of Organized Crime in Health Care
    Experience the power of data, linking and analytics

Accurint® for Health Care
Protect against fraudulent claims and identity fraud
Bridger Insight® XG for Health Care
Conduct due diligence, comply with global regulations and reduce fraud risks
LexisNexis® InstantID® for Healthcare
Identify fraud risks across exchanges and broker communities
Instant Authenticate for Health Care
Verify identities and provide secure enrollment to online portals
Instant Verify for Health Care
Accelerate identity verifications with a solution customized to fit your workflow
Intelligent Investigator™
Pinpoint fraud with confidence
Multi-Factor Authentication for Health Care
Authenticate members and providers
PrePayment Manager™
Identify improper payments before disbursement
Provider Data Enhancements
Standardize, cleanse and augment provider information
Provider Data Intelligence Suite
Optimize health care data insights
Provider Data MasterFile™
Empowering health care organizations with complete, current, and comprehensive provider data
Provider Data Validation
Real-time access to accurate, complete, and comprehensive provider information
Provider of Interest Score
Identify aberrant patterns in provider behavior
ProviderPoint®
Ensure the integrity of your provider data
Socioeconomic Health Attributes
Augment clinical analytics with hundreds of uniquely packaged and tested public records
Socioeconomic Health Score
Predict health risks more precisely without claims data
Trail Tracker™
Track cases and improve recovery
VerifyHCP
Maintain provider data and directory accuracy
Virtual SIU™
Grow your investigative capabilities

    Contact Us

    Call 866.396.7703