Eligibility-based services, which may also be referred to as coordination-of-benefits, involve identifying and recovering payments in situations where our client should not be the primary payer of healthcare claims because a member has other forms of insurance coverage. We are paid contingency fees by our clients based on a percentage of the dollar amount of improper claims recovered as a result of our efforts. The revenues we recognize are net of our estimate of claims that we believe will be overturned by appeal or disputed following payment by the provider.
For eligibility or COB contracts, insurance companies or other responsible parties may dispute the Company’s findings regarding our clients not being the primary payer of healthcare claims.
A distinction of Performant’s services is our commitment to provider outreach on behalf of our health plan clients.
Performant provides technology-enabled audit, recovery, and analytics services in the United States with a focus in the healthcare payment integrity industry.
A distinction of Performant’s services is our commitment to provider outreach on behalf of our health plan clients.
