PERFORMANT ADVANTAGE

Owners

Goods & Services

Post-payment recovery of improper payments, including healthcare provider-based payment coordination and denial management, namely, collection of money owed due to improper payment; risk adjustment, namely, insurance risk adjustment; premium evaluation and enhancement, namely, insurance premium rate computing; administration of employee welfare benefits plans concerning insurance in the field of premium determination, eligibility determination, cost avoidance, post-payment recovery identification, and compliance reporting; post-payment recovery services, including healthcare provider-based payment coordination, primary payer-based billing and collections, and denial management, namely, collection of money owed due to improper payment; financial analysis of overpayments and debts; financial analysis in the field of post-payment recovery identification and compliance reporting; post-payment recovery services, including payer, healthcare provider, and healthcare plan member-based payment coordination, namely, collection of money owed due to improper payment; repayment debt settlement negotiation services

Scanning in the nature of digitization of documents obtained from mail handling

Rental of lockboxes; alternative dispute resolution services

Outsourcing services in the nature of business assistance for the healthcare industry; business data analysis for the healthcare industry; business consulting services for the healthcare industry, including in the field of payment integrity in the nature of the efficient and transparent payment of health insurance claims and cost containment services for health care benefit plans; analysis of business data to identify trends and financial opportunities; account auditing services in the field of identifying prepayment savings, post-payment recoveries, contractual payment errors, improper coding, improper billing submissions, and outlier trend payments; account auditing of eligibility and primary coverage data in the field of identifying incorrect coordination of benefits and post-payment recoveries; mail handling, including the handling of mail that contains payments; indexing for others of documents obtained from mail handling; business auditing; statistical analysis and reporting services for business purposes