Performant Healthcare, Inc.

Overview

Performant Healthcare, Inc. is a technology-enabled company specializing in audit, recovery, and analytics services within the healthcare payment integrity sector. Founded in 1976 and based in Livermore, California, the company assists healthcare payers—including government and commercial entities—in identifying and recovering improper payments through claims auditing and eligibility-based services.

The core offerings include claims auditing to detect improper payments, coordination-of-benefits services to ensure correct payment responsibility, and recovery services to reclaim overpayments. With advanced data analytics, Performant Healthcare enhances payment accuracy and reduces financial losses. The company also operates a call center for managing client interactions related to payment integrity and is focused on serving clients in complex and regulated environments, emphasizing collaboration, integrity, and innovation.

Basic Information

Contact Details

• Phone: +1 866-256-0057
• Website: performanthealthcare.com
• LinkedIn: linkedin.com/company/performant-healthcare
• AngelList: angel.co/performant-financial

Key Focus Areas & Initiatives

• Fraud detection in healthcare payments
• Waste and abuse prevention
• Claims auditing and recovery services
• Coordination of benefits
• Cost containment and prepayment analyses
• Medical coding audit
• Customer and provider outreach services
• Claims fraud detection
• Eligibility verification
• Payment recovery and aged recoveries
• Predictive analytics for high-risk audits
• Data mining and outlier claims detection
• Healthcare audit services and system optimization
• Contract compliance
• Post-acute and home care audits
• Provider billing and coding assessments
• B2B data analytics solutions
• Managed Medicaid plans
• Testing laboratories and services
• Consulting and system policy reviews

Technologies Used

• AI
• Microsoft Office 365
• Outlook
• Pardot
• Remote

Affiliated Organizations & Regional Branches