How Accurate Is Your Provider Data?
Today, there are over 10 million active providers nationwide.
1
0 - 50,000
50,001 - 100,000
100,001 - 200,000
300,001 - 400,000
400,001+
200,001 - 300,000
...and their data is constantly changing.
Meanwhile, provider licensing data changes in a single week:
2
86,000
1,000
17,000
state license
expirations
state license
statuses
DEA
numbers
33,000 primary
addresses
3,300
names
1,500 fax numbers
1,750
phones
2.5%
20%
of demographics
of doctors move or change practices
ONE WEEK:
ONE MONTH:
ONE YEAR:
3
4
5
Complicating things further, many states require additional licensing beyond
the state license, so there’s even more data to keep up with.
Failure to stay on top of provider data changes has big ROI impact and compliance.
22
3
states require a
second controlled substance license
states require a
second controlled substance license after a DEA number is issued
For
PHARMA
For
PHARMACY
drives up the internal cost.
drives up the penalties and fees.
fine per prescription filled for a prescriber whose DEA number expired
Based on the average pharma sales rep salary of $134,303 and an average of 7 sales calls a day
$25,000
$74 in sales rep time
A single ineffective sales call can waste
fine for a prescription filled with a valid DEA number belonging to a physician different than the prescriber
$10,000
Click here to learn how LexisNexis Provider Data MasterFile
can help you keep your provider data up to date.
https://risk.lexisnexis.com/products/provider-data-masterfile
LexisNexis and the Knowledge Burst logo are registered trademarks of RELX Inc.
Copyright © 2020 LexisNexis Risk Solutions. NXR14308-00-0220-EN-US
About LexisNexis® Risk Solutions
LexisNexis Risk Solutions harnesses the power of data and advanced analytics to provide insights that help businesses and governmental entities reduce risk and improve decisions to benefit people around the globe.
We provide data and technology solutions for a wide range of industries including insurance, financial services, healthcare and government. Headquartered in metro Atlanta, Georgia, we have offices throughout the world and are part of RELX (LSE: REL/NYSE: RELX), a global provider of information-based analytics and decision tools for professional and business customers. For more information, please visit www.risk.lexisnexis.com and www.relx.com.
Our healthcare solutions combine proprietary analytics, data science and technology with the industry’s leading sources of provider, member, claims and public records information to deliver insights that improve cost savings, health outcomes, data quality and compliance.
Provider Data Management Solutions, LexisNexis, 2020
Provider Data MasterFile provided by LexisNexis® Risk Solutions is not provided by "consumer reporting agencies" as that term is defined in the federal Fair Credit Reporting Act (15 U.S.C. § 1681, et seq.) (FCRA) and does not constitute a "consumer report" as that term is defined in the FCRA. Provider Data MasterFile may not be used in whole or in part as a factor in determining eligibility for credit, insurance, or employment or for any other eligibility purpose that would qualify it as a consumer report under the FCRA. Due to the nature and origin of public record information, the public records and commercially available data sources used in reports may contain errors. Source data is sometimes reported or entered inaccurately, processed poorly or incorrectly, and is generally not free from defect. This product or service aggregates and reports data, as provided by the public records and commercially available data sources, and is not the source of the data, nor is it a comprehensive compilation of the data. Before relying on any data, it should be independently verified. LexisNexis and the Knowledge Burst logo are registered trademarks of RELX Inc. Provider Data MasterFile is a trademark of Health Market Science, Inc. Other products and services may be trademarks or registered trademarks of their respective companies. Copyright © 2020 LexisNexis Risk Solutions.
1. LexisNexis® Provider Data MasterFile™, 2020
2. Ibid
3. A Business Case for Fixing Provider Data Issues, LexisNexis Risk Solutions
4. Ibid
5. Ibid
6. Practitioner State License Requirements, U.S. Department of Justice Drug Enforcement Administration
8. 2019 Medical Sales Salary Report, MedReps
9. Title 21 United States Code Controlled Substances Act, Part D, U.S. Department of Justice Drug Enforcement Administration
10. Ibid
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9
10
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