The economics
Where this roster’s disputes were resolved, the prevailing offer settled at 14.725% of the plan’s own benchmark — and almost all of them trace to one clinician and one out-of-network service line.
Where the disputes settled
14.725%median prevailing offer as a share of the qualifying payment amount, over 52 disputes
64line items across 20 disputes naming 13 payers, 2025Q3+2025Q4
Which payers, and how much of it
- Blue Cross and Blue Shield of Texas29 of 64
- Aetna16 of 64
- UnitedHealthcare8 of 64
- Cigna Healthcare6 of 64
- Aspirus Health Plan4 of 64
- not mapped to a canonical payer1 of 64
5of 3,359 rostered clinicians appear in the file at all
73.44%of the line items trace to one of them, mostly on lines the file labels “OON NEUROMONITOR”