Health Care

Patient, provider and claims data fuel the health care system. Aggregating this data from disparate sources, cleansing and linking it and analyzing it for business critical insights is a challenge for most healthcare organization.

LexisNexis leverages is position as the industry’s leader in consumer identity, claims, and provider data to help healthcare entities improve data quality, expand their view into referral patterns, identify areas of risk and opportunity, and most importantly make better business decisions.

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

Our health care data and management services are founded on:

• Over 6 petabytes of data
• 65 billion public records from 10,000+ sources
• 10.2 billion unique name and address records
• 319 million member lives
• 1.6 billion medical claims
• 8/5 million health care professionals
• 2.7 million HCP-HCO affiliations

1. Blue Plan Yields 76% Error Reduction in Provider Data Using ProviderPoint®
2. Email Append is Saving Health Care Companies Hundreds of Thousands of Dollars
3. Health Net Provider Data "Black Hole" Filled with Provider SelectFile®
4. National Health Plan Leverages LexisNexis® Data Solutions to Improve HEDIS Scores
5. Provider Data Solutions Improve Aggregate Spend, Reporting and Sales Performance for Large Pharmaceutical Company
6. ProviderLookup® Cuts Investigative Data Retrieval from 30 Minutes to 30 Seconds
7. ProviderPoint® Helps Large National PPO Increase Claims Processing Efficiency and Customer Satisfaction While Decreasing Operational Costs
8. Technology Helps Covered California Improve Provider Directory Integrity and Member Satisfaction
   
9. United Healthcare® Community & State Leverages LexisNexis® Data Solutions to Improve HEDIS Scores
   

1. A Business Case for Fixing Provider Data Issues
   Save money, reduce waste and improve member services.
   Proactive provider data management
2. 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
3. Data Quality: The greatest Challenge and opportunity for health care
4. Engaging the Member in Ways That Matter:
   Time Again for Payers to Lead
5. 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
6. Healthy Doses of Data and Analytics Reveal a Clearer View
7. High-quality provider data fuels provider communications
8. 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
9. The ABCs of IDNs
10. The Provider Data Paradigm
11. Why Data Stewardship Is a Winning Business Investment