PayerScore · Health insurer · national

Health First Health Plans

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

77%

providers win their IDR disputes

617%

median award vs the payer's QPA

16%

payer default / non-response rate

571

resolved federal IDR disputes

Health First Health Plans treats providers among the worst in the country. Providers win 77% of resolved federal IDR disputes against it nationally, at a median award of 617% 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.

Health First Health Plans by state

TX · 491 F

See the full breakdown

The interactive Payer Explorer shows the code-by-code detail, the dispute history, and where your own book sits against Health First Health Plans. 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 Health First Health Plans.

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.