Since 1976, performant Recovery Inc. has operated in the business of payment integrity across the American healthcare system. The company works with commercial and government payers to identify, prevent, and recover improper payments, fraud, and billing errors affecting Medicare, medicaid, and commercial health plans. Its operations span 45 states and manage accounts valued in the billions of dollars.
The company's core capabilities centre on audit solutions, eligibility verification, recovery operations, and data mining. Its audit solutions identify improper payments and errors through combination of proprietary technology and clinical review. its eligibility solutions verify correct payer responsibility across government and commercial markets. recovery operations retrieve improperly paid capital for health plans, while data mining tools detect patterns of fraud and billing errors across payer populations.
performant Recovery positions itself at the intersection of advanced analytics and clinical expertise. The company employs sophisticated analytics technology alongside experienced healthcare experts, combining algorithmic pattern detection with human clinical judgment to assess legitimacy of claims and identify systemic issues within payer populations.
