Claims Medical Discovery

Identify potentially questionable medical provider behavior

The Insurance Research Council¹ estimates that 18-27% of bodily injury claims and 12-17% of personal injury claims contain some form of fraud, waste or abuse. Annual property and casuality insurance industry losses from medical claims fraud, waste and abuse are now in the tens of billions of dollars. With LexisNexis® Claims Medical Discovery, Auto and Workers’ Comp carriers can begin to address the challenge.

LexisNexis® Claims Medical Discovery helps carriers identify potentially nefarious fraudulent medical provider behavior by resolving provider identities, revealing anomalous patterns and utilizing analytics to monitor suspect providers.

The Claims Medical Discovery service 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, the Claims Medical Discovery service may not be used in whole or in part as a factor in determining eligibility for credit, insurance,