Frequently Asked Questions
Why is this claim being audited?
Performant conducts DME, Home Health, and Skilled Nursing Facility audits. This clinical validation reviews medical documentation to ensure each diagnosis, procedure, or supply is documented and supported by clinical record.
What do I do if I have questions regarding an audit?
Please contact Performant Customer Service Department at 1-844-308-3781, Monday-Friday 9am to 5pm EST
Where do I send medical records when requested for an audit?
- Mail: Performant Healthcare Solutions, Inc.
Attn: Records Department
PO Box 3568
San Angelo, TX 76902 - Fax: 1 (925) 245-8244
- Online: Performant has teamed up with NantHealth | NaviNet. To register for this option, go to https://register.navinet.net to access the online registration form and follow the prompts to set up a new account. For additional information, go to https://helpcenter.nanthealth.com or contact NaviNet Support at (888) 482-8057.
Where do I send medical records for an appeal/reconsideration/dispute?
- Mail: Performant Healthcare Solutions, Inc.
Attn: Reconsideration Dept.
P.O. Box 60410
San Angelo, TX 76906-0410 - Fax: 1 (925) 245-8243
- Online: Using the NaviNet portal as described above.
Which reason codes indicate a Performant audit?
Reason codes RV116, RV117, & RV213 found on the Explanation of Payment (EOP) will indicate that a claim was recouped/adjusted due to a Performant audit.
