Performant Healthcare SolutionsSM offers broad experience in the commercial and government-sponsored healthcare markets. Our experience features the provision of payment integrity services to some of the nation’s largest, national commercial payers, as well as to a host of regional payers and Blue Cross Blue Shield plans. Under these contracts, Performant identifies, recovers, and prevents improper payments through the deployment of advanced data mining technology, automated and complex clinical reviews, coupled with robust provider outreach efforts.
To support a health plan’s cost containment efforts, Performant offers a wide range of services for all lines of business, including commercial, Medicare, and Medicaid. Additionally, Performant leverages nearly 50 years of experience in asset recovery to deliver leading COB/TPL, MSP, provider debt recovery, and health insurance claim administration services.
Our team of highly trained audit professionals includes registered nurses, certified coders, data analysts, recovery specialists, and medical directors brings deep experience with the payment integrity cycle from analysis through appeals to each engagement.
Offering proven industry best practices coupled with a proprietary library of specialized audits, Performant delivers tailored solutions aligned with the payment integrity goals of our clients. Our fast and highly customizable program implementation accelerates savings and recovery, as well as program ROI; and our dedicated team of professionals brings valuable audit and recovery experience and a focus on building long-term relationships.