{
    "meta": {
        "total": 1,
        "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": "f0281",
            "parent_org": "Highmark",
            "plan_name": "Highmark QHP (federal Marketplace) - Pennsylvania",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "PA",
            "reporting_period": "Jan 1, 2025 - Dec 31, 2025",
            "std_total": 77677,
            "std_approved": 72961,
            "std_denied": 4716,
            "std_denial_rate": 6.07,
            "std_denial_rate_printed": 6,
            "std_appeals_total": 50,
            "std_appeals_overturned": 27,
            "std_appeal_overturn_rate": 54,
            "exp_total": 13598,
            "exp_approved": 12455,
            "exp_denied": 1143,
            "exp_denial_rate": 8.41,
            "ext_review_approved": null,
            "std_tat_mean_days": 0.43,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 11.76,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "warn:expedited_slower_than_standard",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://providers.highmark.com/content/dam/highmark/en/providerresourcecenter/highmark-health-options/hho-de/documents/pdfs/prior-authorization-code-lookup/prior-authorization-metrics.pdf",
            "source_segment": "blues",
            "extraction_note": "Expedited decision time was published in DAYS and converted to hours (x24); standard TAT left in days as published. No standard extended-review figures printed for the QHP rows. Expedited extended review 18 total / 17 approved / 1 denied. Expedited appeals: 16 total, 4 approved. Only 50 standard appeals against 4,716 denials.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": null,
            "filing_unit": null
        }
    ]
}