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Provider Contact Information

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RAC Request for Provider Contact Information

Performant Recovery is the Recovery Audit Contractor (RAC) for Regions 1 and 5. Please provide your contact information for both Medical Record Requests and Review Results Letters/Discussion Period Letters below. If you represent multiple facilities/providers, please complete this form for each facility/provider or you can complete the Excel spreadsheet linked below.  If you utilize the Excel spreadsheet, email the completed form to our RAC Customer Service Team.


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Contact for Recovery Medical Record Requests

Review Results/Discussion Period Result Letters