RLD360 vs. LexisNexis Intelligent Investigator

RLD360 is the AI-powered platform trusted by leading health systems to unify provider management, compliance, safety, and patient experience in one connected system. With one login, one user experience, and one shared data foundation, it helps leaders close the gap between insight and action so they can act faster, improve outcomes, and drive sustainable improvement. What makes RLD360 unique is the combination of expertise, connection, intelligence, and scale.

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.