701
B
PayerScore · Health insurer · California
Molina Healthcare, California
300 to 850 · lower is worse for providers · 575 = median payer conduct
76%
providers win their IDR disputes
163%
median award vs the payer's QPA
4%
payer default / non-response rate
123
resolved federal IDR disputes
In California, Molina Healthcare treats providers better than most. Providers win 76% of resolved federal IDR disputes against it here, at a median award of 163% of the payer's own qualifying payment amount.
← Molina Healthcare nationally (621 C)
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The interactive Payer Explorer shows the code-by-code detail, the dispute history, and where your own book sits against Molina Healthcare. 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.