{
    "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": "f0454",
            "parent_org": "Rocky Mountain Health Plans",
            "plan_name": "Rocky Mountain Health Plans - QHP On-Exchange",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "CO",
            "reporting_period": "CY2025",
            "std_total": 1418,
            "std_approved": 1217,
            "std_denied": 201,
            "std_denial_rate": 14.17,
            "std_denial_rate_printed": 14.17,
            "std_appeals_total": 24,
            "std_appeals_overturned": 18,
            "std_appeal_overturn_rate": 75,
            "exp_total": 4534,
            "exp_approved": 4389,
            "exp_denied": 145,
            "exp_denial_rate": 3.2,
            "ext_review_approved": null,
            "std_tat_mean_days": 3.47,
            "std_tat_median_days": 3,
            "exp_tat_mean_hours": 48.29,
            "exp_tat_median_hours": 18,
            "reports_counts": true,
            "quality_flags": "warn:expedited_exceeds_standard_volume",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://www.rmhp.org/wp-content/uploads/2026/03/CMS-Interop-Draft-20260331.pdf",
            "source_segment": "w3_plains",
            "extraction_note": "One PDF covers six RMHP lines of business (QHP On-Exchange, QHP Off-Exchange, CHP+, Medicare Advantage H2582, PRIME, RAE); this is the QHP On-Exchange line. Expedited request volume (4,534) is more than 3x standard volume (1,418) as printed -- unusual but transcribed verbatim. Document is undated internally (no explicit 'CY2025' string found); reporting period inferred from the March 2026 filing/upload date. Appeals figure is a single combined count on the appeals table, not split by standard/expedited -- recorded under std_appeals_* per schema.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": null,
            "filing_unit": null
        },
        {
            "filing_id": "f0453",
            "parent_org": "Rocky Mountain Health Plans",
            "plan_name": "Rocky Mountain Health Plans - QHP Off-Exchange (Commercial)",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "CO",
            "reporting_period": "CY2025",
            "std_total": 6912,
            "std_approved": 6280,
            "std_denied": 632,
            "std_denial_rate": 9.14,
            "std_denial_rate_printed": 9.14,
            "std_appeals_total": 110,
            "std_appeals_overturned": 61,
            "std_appeal_overturn_rate": 55.45,
            "exp_total": 5049,
            "exp_approved": 4515,
            "exp_denied": 534,
            "exp_denial_rate": 10.58,
            "ext_review_approved": null,
            "std_tat_mean_days": 4.92,
            "std_tat_median_days": 3,
            "exp_tat_mean_hours": 44.2,
            "exp_tat_median_hours": 15,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.rmhp.org/wp-content/uploads/2026/03/CMS-Interop-Draft-20260331.pdf",
            "source_segment": "w3_plains",
            "extraction_note": "One PDF covers six RMHP lines of business; this is QHP Off-Exchange (Commercial). Reporting period not explicitly labeled in the document; inferred CY2025 from the file's March 2026 filing date. Appeals figure is a single combined count, not split by standard/expedited.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": null,
            "filing_unit": null
        }
    ]
}