LexisNexis Intelligent Investigator vs. Origami Risk

LexisNexis® Intelligent Investigator™ is an advanced post-payment analysis tool designed to detect and prioritize cases of fraud, waste, and abuse within healthcare claims. By leveraging sophisticated rules-based analytics, it identifies aberrant patterns indicative of emerging fraud schemes, enabling investigative teams to focus on the most promising leads. Key Features and Functionality: - Prioritized Workflow: Utilizes a Composite Lead Indicator (CLI) to rank leads based on potential savings and recovery probability, ensuring investigators address the most impactful cases first.

Origami Risk is a highly configurable, integrated SaaS platform for insurance, risk, safety, and compliance management. Origami Risk provides organizations with a centralized system to automate critical workflows, collect data, leverage analytics, and engage with stakeholders. Origami’s P&C Insurance solution includes policy administration, rating, and billing; claims administration; loss control; analytics, dashboards, and reporting.