{
    "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": "f0137",
            "parent_org": "Centene",
            "plan_name": "Ambetter from Meridian",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "MI",
            "reporting_period": "CY2025",
            "std_total": 41967,
            "std_approved": 32463,
            "std_denied": 9504,
            "std_denial_rate": 22.65,
            "std_denial_rate_printed": 22.65,
            "std_appeals_total": 1518,
            "std_appeals_overturned": 771,
            "std_appeal_overturn_rate": 50.79,
            "exp_total": 2453,
            "exp_approved": 2008,
            "exp_denied": 445,
            "exp_denial_rate": 18.14,
            "ext_review_approved": null,
            "std_tat_mean_days": 3,
            "std_tat_median_days": 1,
            "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/ambetter-from-meridian/PDFs/MI_MKT_ABMeridian_58594_MetricsSummary_R.pdf",
            "source_segment": "w3_qhp",
            "extraction_note": "Issuer ID 58594. Expedited appeals: 106 total, 63 overturned (59.43%). Expedited TAT printed in days (mean 1, median 0); converted to hours (24h/0h) - native unit was days. Document includes a disclaimer that posted data may differ from data submitted to state/federal regulators due to differing methodologies.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:MI:58594",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0429",
            "parent_org": "Oscar Health",
            "plan_name": "Oscar Health - Michigan",
            "contract_id": "77739",
            "coverage_type": "Marketplace QHP",
            "state": "MI",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 20.45,
            "std_denial_rate_printed": 20.45,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 73.33,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 24.55,
            "ext_review_approved": null,
            "std_tat_mean_days": 4.8,
            "std_tat_median_days": 3.7,
            "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/5CYGdnu4eZUwZo9CjhkwVf/5c117862279f37594a00f4866ee49a9e/PY2025_MI_77739.pdf",
            "source_segment": "marketplace",
            "extraction_note": "Percentages only; the '% Total Requests' row is present in the template but left blank.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:MI:77739",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0450",
            "parent_org": "Priority Health",
            "plan_name": "Priority Health Qualified Health Plan",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "MI",
            "reporting_period": "CY2025",
            "std_total": 36916,
            "std_approved": 30432,
            "std_denied": 6484,
            "std_denial_rate": 17.56,
            "std_denial_rate_printed": null,
            "std_appeals_total": 676,
            "std_appeals_overturned": 361,
            "std_appeal_overturn_rate": 53.4,
            "exp_total": 1232,
            "exp_approved": 968,
            "exp_denied": 264,
            "exp_denial_rate": 21.43,
            "ext_review_approved": 0,
            "std_tat_mean_days": 1.17,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 11.1,
            "exp_tat_median_hours": 1.57,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://priorityhealth.stylelabs.cloud/api/public/content/5421c2c2b1c74ad9ac0cd2fbb2d7cafe",
            "source_segment": "wave2",
            "extraction_note": "Document reports both time-to-determination (recorded) and time-to-written-notification series.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:MI:29698",
            "filing_unit": "qhp_issuer"
        }
    ]
}