PayerIQ
Production
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Tier 1MEBCBS

Blue Cross Blue Shield of Oklahoma

Priority engagement — executive meetings + contract acceleration

Composite
78.0
Rank
#4
Members
7.4M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
64
+16.0
Lives
20%
98
+19.6
Geography
20%
100
+20.0
Restrictions
15%
31
+4.6
Relationship
10%
96
+9.6
Financials
10%
81
+8.1
Composite Score78.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 16.0 + 19.6 + 20.0 + 4.6 + 9.6 + 8.1 = 78.0
Intelligence

Qualitative intelligence

Members
7.4M
Drug spend
$2.3B
Formulary
3-tier
PA / RA level
High
Biosimilar policy
Preferred biosimilar policy
Avg reimbursement
92 days
Strategic notes

Large dual-eligible population; PA/RA process requires clinical evidence package

Peer set

Closest peers in BCBS

Anthem Blue Cross Blue Shield Nevada
WA · Tier 1
77.8
-0.2
Blue Cross Blue Shield Wyoming HMO
SD · Tier 1
77.0
-1.0
Hawaii Medical Service Association PPO
AK · Tier 1
73.7
-4.3
Blue Cross Blue Shield Wyoming Insurance
UT · Tier 1
83.7
+5.7
Anthem Blue Cross Blue Shield of Kentucky
NH · Tier 1
72.1
-5.9
Playbook · Tier 1

Engagement timeline

Week 1
Executive sponsor outreach · contract review
Week 2
Account team alignment · data sharing MoU
Week 4
Strategic roadmap session
Quarterly
C-suite QBR · joint planning