652
C
PayerScore · Health insurer · South Dakota
UnitedHealthcare, South Dakota
300 to 850 · lower is worse for providers · 575 = median payer conduct
75%
providers win their IDR disputes
627%
median award vs the payer's QPA
9%
payer default / non-response rate
59
resolved federal IDR disputes
Contracted-rate position: across the codes we can compare, this payer pays about 127% of the local peer median (documented public rate data). Lower means it pays providers less than the local market.
In South Dakota, UnitedHealthcare sits near the middle of payer conduct. Providers win 75% of resolved federal IDR disputes against it here, at a median award of 627% of the payer's own qualifying payment amount.
← UnitedHealthcare nationally (592 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 UnitedHealthcare. 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.