{
    "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": "f0134",
            "parent_org": "Centene",
            "plan_name": "Ambetter from Home State Health (99723)",
            "contract_id": "99723",
            "coverage_type": "Marketplace QHP",
            "state": "MO",
            "reporting_period": "CY2025",
            "std_total": 89747,
            "std_approved": 69279,
            "std_denied": 20468,
            "std_denial_rate": 22.81,
            "std_denial_rate_printed": null,
            "std_appeals_total": 2503,
            "std_appeals_overturned": 1441,
            "std_appeal_overturn_rate": 57.57,
            "exp_total": 2491,
            "exp_approved": 1923,
            "exp_denied": 568,
            "exp_denial_rate": 22.8,
            "ext_review_approved": 1430,
            "std_tat_mean_days": 2,
            "std_tat_median_days": 0,
            "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/home-state-health/ambetter/pdfs/MO_MKT_ABHomeStateHealth_99723_MetricsSummary_R-1.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:MO:99723",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0430",
            "parent_org": "Oscar Health",
            "plan_name": "Oscar Health - Missouri",
            "contract_id": "69512",
            "coverage_type": "Marketplace QHP",
            "state": "MO",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 16.1,
            "std_denial_rate_printed": 16.1,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 50,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 33.17,
            "ext_review_approved": null,
            "std_tat_mean_days": 2.2,
            "std_tat_median_days": 0.2,
            "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/1ndGAtpoZRaejT1qMr18VR/ee4006452621a52b838ce6a303cf4ee4/PY2025_MO_69512.pdf",
            "source_segment": "marketplace",
            "extraction_note": "Percentages only. Standard median of 0.2 days is far below the 2.2-day mean, as printed.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:MO:69512",
            "filing_unit": "qhp_issuer"
        }
    ]
}