LexisNexis Intelligent Investigator vs. SAI360

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.

SAI360's Platform brings together ethics, governance, risk, and compliance management for a more powerful perspective. Leverage the most connected platform and industry-leading content to manage risk from every angle. • Start quick with solutions built upon industry best practices • Scale as needed with the ability to customize • Gain insight and share easily with analytics and reporting • Engage employees with interactive training • Offer training in the flow of work for maximum impact • Access support from an industry leader with 25+ years of expertise Insights from the SAI360 team: