Performant Healthcare is a technology-driven healthcare analytics and operations company that partners with government agencies, commercial payers and self-insured organizations to identify, prevent and recover improper payments. Headquartered in Irvine, California, the company leverages proprietary analytics and a scalable SaaS platform to streamline revenue cycle processes and enhance payment accuracy. Performant Healthcare’s solutions span pre-payment review, post-payment audit, appeals management and subrogation services, helping clients across federal programs and state Medicaid agencies to contain costs and maintain regulatory compliance.
At the core of Performant’s offering is its advanced data analytics engine, which combines predictive modeling, machine learning and business intelligence tools. The platform ingests vast volumes of claims and provider data to pinpoint anomalies, flag high-risk cases and automate workflow tasks. Complementing the technology suite, Performant’s specialized teams manage case adjudication, recovery operations and provider outreach, delivering a flexible blend of software and managed services that adapts to the evolving needs of public and private payers.
Since its founding in the late 1990s, Performant Healthcare has expanded its footprint to serve dozens of state and federal healthcare programs nationwide. The company’s client roster includes the U.S. Centers for Medicare & Medicaid Services (CMS), numerous state agencies overseeing Medicaid and Children’s Health Insurance Programs, as well as leading commercial health plans. By continuously refining its algorithms and integrating regulatory updates, Performant has built a track record of measurable cost savings and process improvements for its customers.
Guided by an experienced executive team with deep backgrounds in health policy, technology and finance, Performant Healthcare remains focused on innovation and growth. The company invests in next-generation capabilities—such as natural language processing and real-time analytics dashboards—to anticipate emerging risk areas and accelerate recovery cycles. With a commitment to transparency and operational excellence, Performant Healthcare strives to help payers enhance financial integrity and deliver more sustainable healthcare outcomes.
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