Enclarity

Enclarity, Inc. operated as a provider of information management and analytic software services tailored for the healthcare market before its acquisition by LexisNexis Risk Solutions on September 11, 2013. The company was founded in 2005 with a mission to solve the problem of inaccurate and outdated healthcare provider information by compiling a comprehensive and current medical provider database. One of the founders, Sean Downey, brought significant experience from his previous role as vice president for healthcare and insurance solutions at FICO, where he managed a division with approximately $90 million in annual revenue.

The firm's core business centered on providing accurate provider data to a wide range of clients, including health insurance plans, preferred provider organizations (PPOs), pharmaceutical companies, and medical device manufacturers. Enclarity's client roster included nine of the 15 largest health insurance plans and four of the 10 largest PPOs. The business model was based on offering solutions that improved clients' operational efficiency in areas such as claims processing, provider directories, regulatory compliance, and marketing optimization. By blending thousands of data sources with advanced analytics, Enclarity delivered curated information to its customers.

Enclarity developed a suite of products to serve its market. These included ProviderPoint, a hosted information solution; ProviderLookup, a web-based search service; and Provider SelectFile, a subscription service for point-in-time provider information. These offerings provided clients with up-to-date healthcare provider information, helping them to manage their provider files more efficiently and gain greater transparency into provider identities. Following the acquisition, LexisNexis integrated Enclarity's provider data into its own analytics platforms to enhance its healthcare solutions, aiming to contain costs, reduce fraud, and improve health outcomes. The acquisition was part of a broader LexisNexis strategy to expand its healthcare portfolio, which also included the acquisitions of EDIWatch and MEDai.

Keywords: provider data management, healthcare information solutions, medical provider database, claims processing optimization, healthcare regulatory compliance, provider directories, healthcare analytics, master data management, life sciences data, PPO data services, health insurance data, pharmaceutical marketing, medical device manufacturer data, provider identity transparency, fraud waste and abuse detection, LexisNexis Risk Solutions, healthcare data services, provider information accuracy, clinical analytics, healthcare cost containment