379
F
PayerScore · Health insurer · Virginia
Sentara Health Plans, Virginia
300 to 850 · lower is worse for providers · 575 = median payer conduct
100%
providers win their IDR disputes
394%
median award vs the payer's QPA
95%
payer default / non-response rate
115
resolved federal IDR disputes
In Virginia, Sentara Health Plans treats providers among the worst. Providers win 100% of resolved federal IDR disputes against it here, at a median award of 394% of the payer's own qualifying payment amount.
← Sentara Health Plans nationally (379 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 Sentara Health Plans. It is a documented reimbursement opportunity, modeled not guaranteed.
Score your own rates free Open the Payer ExplorerShare this grade
One tap puts the number in front of every provider who deals with Sentara Health Plans.
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.