{
    "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": "f0133",
            "parent_org": "Centene",
            "plan_name": "Ambetter from Buckeye Health Plan",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "OH",
            "reporting_period": "CY2025",
            "std_total": 52991,
            "std_approved": 37954,
            "std_denied": 15037,
            "std_denial_rate": 28.38,
            "std_denial_rate_printed": 28.38,
            "std_appeals_total": 441,
            "std_appeals_overturned": 251,
            "std_appeal_overturn_rate": 56.92,
            "exp_total": 3499,
            "exp_approved": 2657,
            "exp_denied": 842,
            "exp_denial_rate": 24.06,
            "ext_review_approved": null,
            "std_tat_mean_days": 4,
            "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/Buckeye/Ambetter/PDFs/OH_MKT_ABBuckeyeHealthPlan_41047_MetricsSummary_R.pdf",
            "source_segment": "w3_qhp",
            "extraction_note": "Issuer ID 41047. Document also includes an expedited appeals line (61 total, 30 overturned, 49.18%) not captured in fixed fields; std/exp appeals overturned pct printed as 56.92%/49.18% respectively. Expedited TAT printed in days (mean 1 day, median 0 days); converted to hours per schema (24h mean, 0h median) - document's native unit is days, not hours, so treat with care.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:OH:41047",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0434",
            "parent_org": "Oscar Health",
            "plan_name": "Oscar Health - Ohio (issuer 45845)",
            "contract_id": "45845",
            "coverage_type": "Marketplace QHP",
            "state": "OH",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 18.4,
            "std_denial_rate_printed": 18.4,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 63.33,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 28.81,
            "ext_review_approved": null,
            "std_tat_mean_days": 2.4,
            "std_tat_median_days": 0.5,
            "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/4wHOBuduXnIvTkrd6Ptt0w/3401874ed86fda1d6187286e2a6aa6b1/PY2025_OH_45845.pdf",
            "source_segment": "marketplace",
            "extraction_note": "Percentages only.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:OH:45845",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0433",
            "parent_org": "Oscar Health",
            "plan_name": "Oscar Health - Ohio (issuer 29341)",
            "contract_id": "29341",
            "coverage_type": "Marketplace QHP",
            "state": "OH",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 16.62,
            "std_denial_rate_printed": 16.62,
            "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": 33.52,
            "ext_review_approved": null,
            "std_tat_mean_days": 1.6,
            "std_tat_median_days": 0.3,
            "exp_tat_mean_hours": 26.4,
            "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/5YZJo8nvmHrnfzLYGc6So8/a9c22d4355116a223ce5d551b86ce0a5/PY2025_OH_29341.pdf",
            "source_segment": "marketplace",
            "extraction_note": "Percentages only. Oscar files two separate Ohio issuer IDs.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:OH:29341",
            "filing_unit": "qhp_issuer"
        }
    ]
}