PayerScore · Third-party administrator · national

Southwest Service Administrators

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

83%

providers win their IDR disputes

551%

median award vs the payer's QPA

50%

payer default / non-response rate

resolved federal IDR disputes

Southwest Service Administrators treats providers among the worst in the country. Providers win 83% of resolved federal IDR disputes against it nationally, at a median award of 551% 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.

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The interactive Payer Explorer shows the code-by-code detail, the dispute history, and where your own book sits against Southwest Service Administrators. 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.