May 20, 2024


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Performant and CAQH Announce Strategic Partnership

LIVERMORE, Calif., December 21, 2022–(Organization WIRE)–Performant Healthcare Options (Nasdaq: PFMT) (Performant), a leading service provider of technologies-enabled payment integrity, eligibility, and linked analytics services, and Council for Inexpensive Quality Health care (CAQH), an market alliance of just about 1,000 health and fitness designs, 2 million vendors, and other healthcare stakeholders doing the job to fix healthcare small business worries, right now announced a partnership to strengthen payment integrity and coordination of rewards (COB) packages for health ideas, which include regional and community-based well being designs. This initiative demonstrates the two organizations’ commitment to driving discounts, promises accuracy, and administrative simplification.

The partnership leverages Performant’s proprietary computer software platform and expert services, and CAQH’s a person-of-a-sort registry of member protection facts to allow collaborating overall health programs to identify 3rd-get together healthcare protection before paying out claims. This possible tactic improves payment precision and provides considerable discounts for well being designs inside months. Both of those businesses have a extended historical past of bettering payment accuracy for health and fitness plans and suppliers, and noticed an chance to deliver regional and neighborhood-primarily based health plans far more tailor-made guidance.

“We are fired up that our partnership with CAQH will allow Performant to help far more wellbeing ideas know the outstanding worth of our COB solutions,” stated Simeon Kohl, president at Performant. “As element of broader payment integrity products and services, Performant will assistance wellness ideas with COB implementations, present detailed data companies, and provide as an extension of the plan’s individual specialized and functions teams to enable acknowledge savings that would otherwise be misplaced.”

“When more health and fitness designs integrate robust coordination of benefits into their operational and fiscal strategies, the total marketplace added benefits from avoided cost and inaccuracy,” reported Tyler Ford, Vice President of Method for CAQH. “Performant shares our mission and this partnership will enhance our efforts to coordinate individual advantages, decrease promises mistakes, and conserve prices for overall health ideas serving hundreds of thousands of members across the nation.”

About Performant Healthcare Methods

Performant Health care Answers is a main supplier of technology-enabled audit, recovery, and analytics products and services in the United States with a emphasis in the health care payment integrity market. Performant performs with health care payers by promises auditing and eligibility-dependent (also recognised as coordination-of-gains) services to determine inappropriate payments. The Enterprise engages customers in both equally governing administration and business markets. The Firm also has a connect with center which serves purchasers with complicated purchaser engagement demands. Clientele of the Enterprise ordinarily run in complicated and very regulated environments and agreement for their payment integrity desires in get to cut down losses on improper healthcare payments.

Powered by a proprietary analytic system and workflow technologies, Performant also offers professional companies connected to the recovery effort, together with reporting capabilities, help companies, purchaser care and stakeholder education applications meant to mitigate foreseeable future situations of inappropriate payments. Founded in 1976, Performant is headquartered in Livermore, California.

About CAQH

For far more than 20 yrs, CAQH has aided almost 1,000 health and fitness options, 2. million companies, authorities entities and vendors connect, trade information and facts and run additional competently. CAQH technology-enabled remedies and its Committee on Functioning Principles for Information and facts Trade (Core) bring the healthcare business with each other to make sharing organization details additional automatic, predictable and dependable. CAQH Insights researches possibilities to lower the stress of guide processes in healthcare administration. Go to and follow us on Twitter: @caqh.

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Richard Zubek, Trader Relations
Performant Health care Options
(925) 960-4988
[email protected]

Gabrielle Nadel, Media Relations
(240) 672.8256
[email protected]