PayerIQ
Production
Q2 2026 · Model v2.6

Payer Intelligence
across the synthetic 250-payer matrix.

A unified, weighted scoring model identifies high-leverage payer relationships, quantifies geographic coverage, and surfaces strategic priorities in real time.

Explore the universe
Total Payers
0
Avg Composite
0.0
Lives Covered
0M
Drug Spend
$0B
Strategic Tiering

Tier distribution

n = 250
23 · 9%
132 · 53%
75 · 30%
20 · 8%
Tier 1
Strategic Priority
Tier 2
Active Engagement
Tier 3
Selective Monitoring
Tier 4
Maintain / Revisit
Composition

By payer type

Regional
70
Commercial
26
BCBS
42
National
26
Medicaid
29
Medicare Advantage
24
PBM
19
Federal
14
Strategic Priorities

Top 10 priority payers

View all 250 →
#PayerTypeTierComposite
01Blue Cross Blue Shield Wyoming Insurance
UT
BCBSTier 1
84
02Rocky Mountain Health Plans Insurance
VT
CommercialTier 1
82
03Denver Health Medical Plan of Minnesota
MN
RegionalTier 1
79
04Blue Cross Blue Shield of Oklahoma
ME
BCBSTier 1
78
05Anthem Blue Cross Blue Shield Nevada
WA
BCBSTier 1
78
06CareFirst of Massachusetts
MA
RegionalTier 1
77
07HealthMarket
VT
NationalTier 1
77
08Blue Cross Blue Shield Wyoming HMO
SD
BCBSTier 1
77
09Community Care Alliance Vermont
VT
MedicaidTier 1
77
10Rocky Mountain Health Plans
IL
CommercialTier 1
77
Distribution

Composite score distribution

right-skewed · median ~60
Geography

US payer footprint

Density by HQ state · click states in Payer Universe to filter.

AK
ME
VT
NH
WA
ID
MT
ND
MN
IL
WI
MI
NY
MA
OR
UT
WY
SD
IA
IN
OH
PA
NJ
CT
RI
CA
NV
CO
NE
MO
KY
WV
VA
MD
DE
AZ
NM
KS
AR
TN
NC
SC
DC
HI
OK
LA
MS
AL
GA
TX
FL
low density
high density