PayerScore · Third-party administrator · national

Edison Health Solutions

Name: PayerScore source data: public federal IDR dispute records
Creator: Reddenda
License: https://reddenda.com/payer/methodology

300 to 850 · lower is worse for providers · 575 = median payer conduct

78%

providers win their IDR disputes

100%

median award vs the payer's QPA

50%

payer default / non-response rate

resolved federal IDR disputes

Edison Health Solutions loses its IDR disputes and sees awards land well above its own QPA offers. Providers win 78% of resolved federal IDR disputes against it nationally, at a median award of 100% of the payer's own qualifying payment amount. That is a documented signal of how far its offers sit below the amount the independent IDR arbiter selected.

See the full breakdown

The interactive Payer Explorer shows the code-by-code detail, the dispute history, and where your own book sits against Edison Health Solutions. It is a documented reimbursement opportunity, modeled not guaranteed.

Score your own rates free Open the Payer Explorer

Share this grade

One tap puts the number in front of every provider who deals with Edison Health Solutions.

Post on X Share on LinkedIn

See how your own payers grade

Get the PayerScore for the plans on your own contracts, and a quarterly note when any grade moves in the federal record.

About this grade. PayerScore is a modeled index and an opinion derived from disclosed public data, not a statement of fact about the payer's conduct. It is computed by deterministic method (v1.0.0) from public federal IDR dispute records (CMS Public Use File) and documented public rate positions vs the local peer median. These are federal independent-dispute-resolution records, not court judgments or litigation. Figures are modeled, not guaranteed. See the methodology. A payer may request a correction at corrections@reddenda.com.