352
F
PayerScore · Third-party administrator · Texas
HealthEZ, Texas
300 to 850 · lower is worse for providers · 575 = median payer conduct
83%
providers win their IDR disputes
1,052%
median award vs the payer's QPA
62%
payer default / non-response rate
65
resolved federal IDR disputes
In Texas, HealthEZ treats providers among the worst. Providers win 83% of resolved federal IDR disputes against it here, at a median award of 1,052% of the payer's own qualifying payment amount.
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The interactive Payer Explorer shows the code-by-code detail, the dispute history, and where your own book sits against HealthEZ. It is a documented reimbursement opportunity, modeled not guaranteed.
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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.