Welcome to Accurint® for Health Care, tailored to the needs of health care payers.  You can expect to continuously see on-going system enhancements and the addition of new data for directed solutions for claim processing, waste, abuse and fraud prevention, detection and investigation, and patient and provider verification/validation.  Accurint for Health Care is the source for:

  • Provider Licensing Data
  • Provider Sanction Data
  • Medical Records Retrieval*
  • Business Information – Vendor Verification/Validation
  • Seamlessly Link to SIRIS for NHCAA Corporate Members and Users
  • Proven online tools to locate, verify, validate and investigate people, businesses, and assets


Drive Greater Efficiencies and Lower the Risk of Loss for Waste, Abuse, and Fraud

Accurint for Health Care is a point-of-need data solution that combines industry-leading solutions together in one-place.  This easy-to-use tool provides superior functionality with advanced searching technology and critical content such as:

Provider Search

Nationwide coverage on a wide range of provider types containing in-depth information about the individual or entity including demographics, board certification and more.

Sanctions Search

Nationwide coverage across multiple licensing entities covering Physicians, Chiropractors, Physical Therapists, Podiatrists, among others going back to January 2001.

Medical Records Retrieval

A fast and efficient way to order, track and retrieve medical records for your insured’s medical history verification and claim-handling needs.  Coverage is nationwide via a secure web site.

Also available:

  • Canvassing to determine if an undisclosed medical event or pre-existing condition exists
  • Employment/Business records retrieval to assist with loss of earnings claims
  • Retrieve records when engaged in litigation via the Subpoena capability

SIRIS – Special Investigation Resource and Intelligence System

National Health Care Anti-Fraud Association (NHCAA) Corporate Members and Users can seamlessly link to SIRIS to share critical information on suspect health care fraud and abuse cases.  SIRIS has powerful searching capabilities using familiar and industry specific identifiers, click box classifications, and the ability to search for all of the records your organization has entered or by an individual within your organization.

Business InstantID

Verify and validate claim mitigation, restoration and CAT vendors instantly.  Explore the linkage between a vendor/business and its authorized representative(s) and evaluate any inconsistencies that may be indicative of fraudulent activity.

News

Aid your investigations with information that can’t be found in public records with over 13,000 current and historical news sources.


*All patient data and records shall be maintained in full compliance with HIPAA requirements and will only be provided with the express authorization of the patient.  At no time shall patient data and records be maintained, stored, or captured by LexisNexis.

LexisNexis does not control SIRIS, the content of SIRIS or access to SIRIS, all of which are directed and controlled by the NHCAA.
 

Links:

You may also contact a Customer Support representative at 800.543.6862.  For sales assistance use our online form or call:
866.242.9973.