{
    "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": "f0427",
            "parent_org": "Oscar Health",
            "plan_name": "Oscar Health - Iowa",
            "contract_id": "45819",
            "coverage_type": "Marketplace QHP",
            "state": "IA",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 17.62,
            "std_denial_rate_printed": 17.62,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 33.87,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 42.52,
            "ext_review_approved": null,
            "std_tat_mean_days": 3.8,
            "std_tat_median_days": 2,
            "exp_tat_mean_hours": 48,
            "exp_tat_median_hours": 48,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.ctfassets.net/plyq12u1bv8a/3b7sTgdh0fdvP9KkBPhbmh/fd034349be62cd673533fa07d16868f0/PY2025_IA_45819.pdf",
            "source_segment": "marketplace",
            "extraction_note": "Percentages only, no counts.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:IA:45819",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0652",
            "parent_org": "Wellmark Blue Cross and Blue Shield",
            "plan_name": "Wellmark Blue Cross and Blue Shield of Iowa (FFE plans)",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "IA",
            "reporting_period": "CY2025",
            "std_total": 25301,
            "std_approved": 22505,
            "std_denied": 2796,
            "std_denial_rate": 11.05,
            "std_denial_rate_printed": 11.1,
            "std_appeals_total": 199,
            "std_appeals_overturned": 78,
            "std_appeal_overturn_rate": 39.2,
            "exp_total": 5599,
            "exp_approved": 5316,
            "exp_denied": 283,
            "exp_denial_rate": 5.05,
            "ext_review_approved": 0,
            "std_tat_mean_days": 1.87,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 20.88,
            "exp_tat_median_hours": 21.12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://digital-assets.wellmark.com/adobe/assets/urn:aaid:aem:30eb26f4-5bfc-49b3-bd1b-7d4ef5245ecd/original/as/prior-authorization-metrics-iowa.pdf",
            "source_segment": "blues",
            "extraction_note": "Scope limited to federally facilitated exchange (FFE) plans only. Expedited TAT published in DAYS and converted to hours (mean 0.87 d = 20.88 h; median 0.88 d = 21.12 h). Printed approved/denied percentages sum to 100.1 (rounding). Median standard TAT is 0 days; the document explains more than half of standard requests were approved in real time. Extended review reported as 0 approved (0%); denied count not printed.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:IA:25896",
            "filing_unit": "qhp_issuer"
        }
    ]
}