LexisNexis® Claims Medical Discovery

Drive efficiencies in health insurance claims management


Help improve health insurance loss ratios by leveraging granular insights and more easily assessing provider data to make better informed decisions faster.


Benefits

Get a Clearer Picture of Health Provider Practices
LexisNexis(R) Claims Medical Discovery provides a clearer, more comprehensive picture of health provider practices.

Better Network Management
Analyze medical professionals and providers by segments to devise unique network management strategies to improve performance for each segment.

Tackle Fraud, Waste and Abuse
Help prevent future unrecoverable losses through early identification of suspect diagnosis patterns, irregular treatments and excessive billing.

Leverage Actionable Insights for Improved Claims Management
Speed up claims workflows using advanced data and analytics to help change practices, improve operations and financial performance.

Improve loss ratios
Help improve loss ratios and reduce operational expenses by leveraging granular insights and assessing data to make better informed decisions faster.


Features

Better insights
Make better informed decisions with a more holistic view of medical providers and claims data

Leverage the power of advanced analytics
Advanced analytics help pinpoint suspicious behavior across your health provider network

Improve loss ratios
Granular insights enable claims teams to be more informed about the claim in question, helping mitigate fraud, waste and abuse to improve loss ratios

Increase convenience and cost savings
User friendly and easy-to-use investigative tools enable you to make more intelligent decisions faster.

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,