OHA’s Payer Scorecard provides hospitals, health systems and payers with the opportunity to collaborate and reduce administrative burden in the health care system.

By providing measurable data, the Scorecard informs OHA advocacy efforts and allows hospitals and health systems to benchmark their organization’s experience with a payer relative to all Scorecard respondents. This promotes internal process improvements with providers and payers.

Scorecard Methodology

OHA collects payer performance data specific to each member organization semiannually. The Payer Scorecard survey asks hospitals and health systems to report data on their top Commercial and Medicare payers, and all Medicaid payers. The quantitative portion of the survey collects data on gross charges and accounts, initial and final denials, average days to pay and aging accounts receivable.

The qualitative portion of the survey asks respondents to evaluate critical processes between payers and providers. These include prior authorization, appeals, downgrades, credentialing and general operations. OHA’s team aggregates the data and analysis providing members with an interactive dashboard to view results. The team meets individually with the largest payers to review improvement opportunities.

Data Submission Tools

To access the data submission tools (template, denial matrix, FAQs, etc.) click here. Login with your OHA credentials to access.

Summer 2025 Data Collection – Round 14 (Reporting Period July 1, 2024 – June 30, 2025)

Need Help?

• Help with login credentials, support@ohiohospitals.org
• Help with using the portal application, support@ohiohospitals.org
• Help with the denial codes, Quyen Weaver
• Help with data definitions or the Payer Scorecard Dashboard, Andy Sturgess-White