Health Care

Pre-Pay

LexisNexis pre-payment analytics leverages our robust provider and public data sources and advanced predictive analytics to identify and target emerging schemes, behaviors and suspect members and providers before payment is issued. The results include more effective use of investigative resources and improved cost savings.

Our solutions apply rules to protect payments without disrupting the claims process or running afoul of prompt-pay laws.

  1. 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
  2. Key Factors for Payers in Fraud & Abuse Prevention
    Protect against fraud and abuse with a multi-layered approach to claims management
  3. Public Records for Health Care
    Reduce exposure to claims fraud with integration of public records
  4. Bending the Cost Curve: Analytic Driven Enterprise Fraud Control
    Three percent, or $60 billion, of all health care spending is lost to fraud.
  5. The Rise of Organized Crime in Health Care: Social Network Analytics Uncover Hidden and Complex Fraud Schemes
    Experience the power of data, linking and analytics
  6. Enhanced data for more powerful fraud prevention

Next Step

To learn more about our Pre-Pay solutions or to receive pricing information:
Call us at 866.396.7703
Fill out our contact form.

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