449
F
PayerScore · Health insurer · Texas
Oscar Health, Texas
300 to 850 · lower is worse for providers · 575 = median payer conduct
89%
providers win their IDR disputes
297%
median award vs the payer's QPA
48%
payer default / non-response rate
146
resolved federal IDR disputes
In Texas, Oscar Health treats providers among the worst. Providers win 89% of resolved federal IDR disputes against it here, at a median award of 297% of the payer's own qualifying payment amount.
← Oscar Health nationally (506 D)
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The interactive Payer Explorer shows the code-by-code detail, the dispute history, and where your own book sits against Oscar Health. 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.