{
    "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": "f0139",
            "parent_org": "Centene",
            "plan_name": "Ambetter from Sunflower Health Plan (34368)",
            "contract_id": "34368",
            "coverage_type": "Marketplace QHP",
            "state": "KS",
            "reporting_period": "CY2025",
            "std_total": 64114,
            "std_approved": 47752,
            "std_denied": 16362,
            "std_denial_rate": 25.52,
            "std_denial_rate_printed": null,
            "std_appeals_total": 1702,
            "std_appeals_overturned": 891,
            "std_appeal_overturn_rate": 52.35,
            "exp_total": 1628,
            "exp_approved": 1344,
            "exp_denied": 284,
            "exp_denial_rate": 17.44,
            "ext_review_approved": 56,
            "std_tat_mean_days": 5,
            "std_tat_median_days": 2,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.ambetterhealth.com/content/dam/centene/sunflower/ambetter/pdfs/KS_MKT_ABSunflowerHealth_34368_MetricsSummary_R.pdf",
            "source_segment": "wave2",
            "extraction_note": "contract_id is the HIOS issuer ID.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:KS:34368",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0428",
            "parent_org": "Oscar Health",
            "plan_name": "Oscar Health - Kansas",
            "contract_id": "43490",
            "coverage_type": "Marketplace QHP",
            "state": "KS",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 13.96,
            "std_denial_rate_printed": 13.96,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 48.39,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 27.79,
            "ext_review_approved": null,
            "std_tat_mean_days": 4.1,
            "std_tat_median_days": 1.9,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "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/4fY2AdTH87b1AilWzMnDAF/4de099966db939d71039dbc91088608b/PY2025_KS_43490.pdf",
            "source_segment": "marketplace",
            "extraction_note": "Percentages only. An automated read returned 'Prior Authorization Requests: 43,490' - that is the HIOS plan ID, not a count.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:KS:43490",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0036",
            "parent_org": "Blue Cross and Blue Shield of Kansas",
            "plan_name": "Blue Cross and Blue Shield of Kansas - Qualified Health Plans",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "KS",
            "reporting_period": "2025",
            "std_total": 3998,
            "std_approved": 3854,
            "std_denied": 136,
            "std_denial_rate": 3.4,
            "std_denial_rate_printed": 3.4,
            "std_appeals_total": 101,
            "std_appeals_overturned": 59,
            "std_appeal_overturn_rate": 58.42,
            "exp_total": 1,
            "exp_approved": 1,
            "exp_denied": 0,
            "exp_denial_rate": 0,
            "ext_review_approved": null,
            "std_tat_mean_days": 8,
            "std_tat_median_days": 8,
            "exp_tat_mean_hours": 51.12,
            "exp_tat_median_hours": 48,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.bcbsks.com/documents/2025-prior-authorization-metrics-qualified-health-plan",
            "source_segment": "w3_plains",
            "extraction_note": "Printed standard approved+denied (3854+136=3990) does not equal the printed standard total (3998) -- an 8-request gap recorded as printed. Expedited turnaround columns are explicitly labeled 'Days' in the source table (2.13 days mean, 2 days median); converted to hours (x24) per the brief's unit-conversion rule. Expedited volume of 1 request for a full calendar year is itself notable. Appeals (101/59) appear only on the standard/non-urgent table; the expedited table shows no appeals activity.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:KS:18558",
            "filing_unit": "qhp_issuer"
        }
    ]
}