{
    "meta": {
        "total": 3,
        "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": "f0460",
            "parent_org": "Sanford Health",
            "plan_name": "Sanford Health Plan QHP - Minnesota",
            "contract_id": "MN-52346",
            "coverage_type": "Marketplace QHP",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 33,
            "std_approved": 25,
            "std_denied": 8,
            "std_denial_rate": 24.24,
            "std_denial_rate_printed": null,
            "std_appeals_total": 0,
            "std_appeals_overturned": 0,
            "std_appeal_overturn_rate": null,
            "exp_total": 2,
            "exp_approved": 2,
            "exp_denied": 0,
            "exp_denial_rate": 0,
            "ext_review_approved": 0,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.sanfordhealthplan.com/-/media/files/documents/final_hp-b134-minnesota-52346-cms-interoperability.pdf",
            "source_segment": "regional",
            "extraction_note": "Very small denominators.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": null,
            "filing_unit": null
        },
        {
            "filing_id": "f0461",
            "parent_org": "Sanford Health",
            "plan_name": "Sanford Health Plan QHP - North Dakota",
            "contract_id": "ND-89364",
            "coverage_type": "Marketplace QHP",
            "state": "ND",
            "reporting_period": "CY2025",
            "std_total": 3646,
            "std_approved": 2829,
            "std_denied": 817,
            "std_denial_rate": 22.41,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 30,
            "std_appeal_overturn_rate": null,
            "exp_total": 420,
            "exp_approved": 417,
            "exp_denied": 3,
            "exp_denial_rate": 0.71,
            "ext_review_approved": 0,
            "std_tat_mean_days": 3,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 19.2,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.sanfordhealthplan.com/-/media/files/documents/final_hp-b132-north-dakota-89364-cms-interoperability.pdf",
            "source_segment": "regional",
            "extraction_note": "Appeals-filed denominator absent.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:ND:89364",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0462",
            "parent_org": "Sanford Health",
            "plan_name": "Sanford Health Plan QHP - South Dakota",
            "contract_id": "SD-31195",
            "coverage_type": "Marketplace QHP",
            "state": "SD",
            "reporting_period": "CY2025",
            "std_total": 3454,
            "std_approved": 2884,
            "std_denied": 570,
            "std_denial_rate": 16.5,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 23,
            "std_appeal_overturn_rate": null,
            "exp_total": 433,
            "exp_approved": 426,
            "exp_denied": 7,
            "exp_denial_rate": 1.62,
            "ext_review_approved": 0,
            "std_tat_mean_days": 4.2,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 50.4,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.sanfordhealthplan.com/-/media/files/documents/final_hp-b133-south-dakota-31195-cms-interoperability.pdf",
            "source_segment": "regional",
            "extraction_note": "Only 'approved only after appeal' published; appeals-filed denominator absent.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:SD:31195",
            "filing_unit": "qhp_issuer"
        }
    ]
}