{
    "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": "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": "f0040",
            "parent_org": "Blue Cross and Blue Shield of Minnesota",
            "plan_name": "Blue Cross and Blue Shield of Minnesota (Blue Cross plans)",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "MN",
            "reporting_period": "Jan 1, 2025 - Dec 31, 2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": null,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": null,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": null,
            "ext_review_approved": null,
            "std_tat_mean_days": null,
            "std_tat_median_days": null,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": true,
            "quality_flags": "info:appeals_not_reported",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.bluecrossmn.com/providers/medical-management/prior-authorization-and-appeals-data",
            "source_segment": "blues",
            "extraction_note": "FORMAT DIFFERS FROM THE CMS TEMPLATE: Blue Cross MN publishes counts broken out by service category (inpatient/outpatient behavioral health, inpatient/outpatient medical, prescription drug) rather than the standard/expedited split, and it includes prescription drugs which CMS-0057-F excludes. No expedited section, no extended-review section and no decision-time metrics are published. Aggregate template fields are left null rather than summed across categories. Coverage type is inferred only from the plan branding (Blue Plus is the MN Medicaid/state public programs entity) and is not labelled in the source. Blue Cross standard counts by category: inpatient behavioral health 2,183 total/2,075 approved/108 denied; inpatient medical 1,064/1,056/8; outpatient behavioral health 3,398/3,067/331; outpatient medical 76,481/69,313/7,168; prescription drug 105,266/59,175/46,091. Appeals by category: 5/106/1/520/573 total with 3/67/0/339/283 overturned. The linked '2025 Interoperability Report' PDF (bluecrossmn.widen.net) could not be fetched - blocked by robots.txt.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": null,
            "filing_unit": null
        }
    ]
}