PayerScore · Health insurer · national

Group Health Cooperative

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

85%

providers win their IDR disputes

661%

median award vs the payer's QPA

69%

payer default / non-response rate

resolved federal IDR disputes

Group Health Cooperative treats providers among the worst in the country. Providers win 85% of resolved federal IDR disputes against it nationally, at a median award of 661% 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.

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

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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.