{
    "meta": {
        "total": 2,
        "page": 1,
        "per_page": 50,
        "pages": 1,
        "sort": "rate",
        "direction": "desc",
        "reporting_year": "CY2025",
        "rule": "CMS-0057-F",
        "note": "Rates are computed from published counts. null means the payer published no value; it never means zero."
    },
    "filings": [
        {
            "filing_id": "f0038",
            "parent_org": "Blue Cross and Blue Shield of Louisiana",
            "plan_name": "HMO Louisiana, Inc.",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "LA",
            "reporting_period": "CY2025",
            "std_total": 62789,
            "std_approved": 58722,
            "std_denied": 4067,
            "std_denial_rate": 6.48,
            "std_denial_rate_printed": 6.48,
            "std_appeals_total": 394,
            "std_appeals_overturned": 143,
            "std_appeal_overturn_rate": 36.29,
            "exp_total": 4209,
            "exp_approved": 4055,
            "exp_denied": 154,
            "exp_denial_rate": 3.66,
            "ext_review_approved": null,
            "std_tat_mean_days": null,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 17,
            "exp_tat_median_hours": 4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.lablue.com/landing/cmsauth",
            "source_segment": "w3_blues",
            "extraction_note": "Same source document/page as the LHSIC filing above (both plans reported on one page). Standard TAT average printed as '< 1 day' -- left null. Median 0 days per the document's auto-approval footnote. 36% appeal-approval rate is as printed (143/394 is ~36.3%).",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:LA:19636",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0039",
            "parent_org": "Blue Cross and Blue Shield of Louisiana",
            "plan_name": "Louisiana Health Services Insurance Company (LHSIC)",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "LA",
            "reporting_period": "CY2025",
            "std_total": 10856,
            "std_approved": 10158,
            "std_denied": 698,
            "std_denial_rate": 6.43,
            "std_denial_rate_printed": 6.43,
            "std_appeals_total": 87,
            "std_appeals_overturned": 25,
            "std_appeal_overturn_rate": 28.74,
            "exp_total": 1002,
            "exp_approved": 962,
            "exp_denied": 40,
            "exp_denial_rate": 3.99,
            "ext_review_approved": null,
            "std_tat_mean_days": null,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 18,
            "exp_tat_median_hours": 5,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.lablue.com/landing/cmsauth",
            "source_segment": "w3_blues",
            "extraction_note": "Page titled 'CMS Prior Authorization Reporting - Qualified Health Plans | Louisiana Blue', reporting period printed as '01/01/2025-12/31/2025'. Standard TAT average printed as '< 1 day' (not an exact figure) -- left null rather than guessing a number; document's own footnote says the median is 0 days 'because of the Louisiana Blue auto-approval rate for prior authorization requests'. Approval/denial percentages and the 29% appeal-approval rate are as printed by the payer, not computed here (25/87 appeals approved works out to ~28.7%, printed as 29%).",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:LA:19636",
            "filing_unit": "qhp_issuer"
        }
    ]
}