Enformion for Healthcare is a comprehensive solution for investigating claims, patients and providers.
This comprehensive solution draws upon billions of records, and covers over 99% of the US adult population. The robust data covers relevant information for health care organizations including: provider licensure, sanctions and certifications; hospital and group practice affiliations; criminal background; death records; family members and known associates. Health insurance fraud is rampant and protection and risk minimization is necessary. Enformion is designed to combat healthcare fraud and drive better business.
Enformion for Healthcare is a powerful tool to:
- Reveal connections between a business and its authorized representatives to help you evaluate potential fraud.
- Provide investigative tools to research suspected fraud and abuse cases.
- Help adjudicate and process claims.
- Verify patients and providers.
- Investigate and prevent waste, abuse, and medical identity theft.
- Validate the identities and professional licenses of health care providers nationwide.
- Verify criminal records.
- Keep track of claimant accounts.
- Notify whenever a new telephone, address or bankruptcy filing occurs.
Talk with a specialist today to learn how Enformion can help to customize a solution that's right for you.
Call us at 1-855-281-3915, or via online today.