Update Provider Contact Information

RAC Request for Provider Contact Information

Performant Recovery is the Recovery Audit Contractor (RAC) for Regions 1 and 2. Please provide your contact information for both Medical Record Requests and Review Results Letters/Discussion Period Letters below. If you represent multiple facilities/providers, please complete this form for each facility/provider or you can complete the Excel spreadsheet linked below. If you utilize the Excel spreadsheet, email the completed form to our RAC Customer Service Team.