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Healthcare payors now have an increased ability to reduce risk and contain losses associated with fraudulent claims and providers. Lodestone Solutions, a healthcare provider database company, today announced its partnership with ID Insight, a provider of analytics-based identity risk and fraud solutions. Lodestone will incorporate ID Insight’s AddressWatchSM data solution into its industry-leading Questionable Provider File, which is used by the country’s largest healthcare companies to screen claims and providers. AddressWatchSM contains the most comprehensive listing of high-risk and suspect addresses in North America, and will be leveraged to provide another layer of risk flags on the Questionable Provider File. “We are excited to roll this extremely powerful AddressWatchSM data from ID Insight into our product suite,” said Jim Hake, VP of Sales for Lodestone Solutions. “We realize its fraud prevention potential, and are extremely pleased to now offer our customers yet another vantage point for preventing abuse and loss.” In addition the Questionable Provider File, AddressWatchSM will be made available as a stand-alone solution. Founded in 1995, Lodestone Solutions enables healthcare payors to mitigate risk, contain costs, and process claims efficiently and intelligently with the vast collection of healthcare-centric data contained on the Questionable Provider File. Key risk flags include: state and federal sanctions; criminal convictions; revoked DEA numbers; expired, suspended, & revoked state licenses; deceased indicators; as well as historical records of previous practice activity. Now, with the addition of the AddressWatchSM dataset, Lodestone customers will have the ability to tap into another layer of risk management by gaining knowledge of not only who they are sending payments to, but where those payments are being delivered as well. Each year, billions of dollars lost through fraud and abuse can be traced back to a scheme that utilizes a “mail drop” location, such as a mail receiving or forwarding service. Because of the transient nature of these addresses, they have become havens for fraudulent activity. ID Insight’s AddressWatchSM uniquely enables payors to avoid these high-risk addresses and prevent losses.
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For more information visit www.idinsight.com.
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