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Description
EnrollmentPlus is a groundbreaking solution designed to streamline the enrollment clearinghouse process, effectively reducing your insurance enrollment processing costs, enhancing visibility of information, and significantly accelerating the onboarding of groups. With our platform, you can electronically enroll with all your carrier partners effortlessly, eliminating the cumbersome task of mapping. Transform your EDI strategy to not only minimize expenses but also to shorten onboarding durations. High costs in EDI processing are unnecessary; EnrollmentPlus can substantially lower your technology support and data remediation expenses for mere pennies per life. By utilizing our software-as-a-service model, you can avoid the expensive investment in your own EDI department or the maintenance of costly infrastructure, allowing you to allocate resources more effectively. In addition, our solution provides a user-friendly interface that simplifies the entire enrollment process, making it accessible for all team members.
Description
To mitigate potential risks, the Centers for Medicare and Medicaid Services (CMS) have instituted guidelines to ensure the validation of their networks. Given that Pharmacy Benefit Managers (PBMs) are significantly impacted by the risk assessment process, the demand for precise and actionable insights has reached unprecedented levels. The LexisNexis Provider Integrity Scan streamlines a variety of provider verification processes and offers continuous monitoring by cross-referencing numerous files and lists, while also delivering automatic alerts for numerous high-risk factors. This tool is proficient in screening and verifying providers both before and after enrollment, aiming to uncover and thwart criminal activities effectively. By identifying potentially fraudulent providers and businesses involved in health-related programs, the LexisNexis Provider Integrity Scan serves to lower costs for health care payers and PBMs alike. Our innovative solution empowers users to effectively conduct multiple searches and access crucial information, enhancing their operational efficiency and security. This comprehensive approach not only safeguards the integrity of health care programs but also fosters a more reliable health care environment.
API Access
Has API
API Access
Has API
Integrations
XML
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
SoftCare
Website
www.softcare.com
Vendor Details
Company Name
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan
Product Features
EDI
AS2 Applications
AS2 Specification Compliance
Archiving & Retention
Certificate Management
Configuration Data Searching
Data Format Translator
Flexible Licensing
Full Logging
Labeling
