{
    "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": "f0131",
            "parent_org": "Centene",
            "plan_name": "Ambetter from Absolute Total Care (79222)",
            "contract_id": "79222",
            "coverage_type": "Marketplace QHP",
            "state": "SC",
            "reporting_period": "CY2025",
            "std_total": 99318,
            "std_approved": 78008,
            "std_denied": 21310,
            "std_denial_rate": 21.46,
            "std_denial_rate_printed": null,
            "std_appeals_total": 1646,
            "std_appeals_overturned": 935,
            "std_appeal_overturn_rate": 56.8,
            "exp_total": 4020,
            "exp_approved": 2938,
            "exp_denied": 1082,
            "exp_denial_rate": 26.92,
            "ext_review_approved": 38,
            "std_tat_mean_days": 4,
            "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/absolute-total-care/ambetter/pdfs/SC_MKT_ABAbsoluteTotalCare_79222_MetricsSummary_R.pdf",
            "source_segment": "wave2",
            "extraction_note": "State inferred from the publishing brand page; PDF prints only 'MarketPlace'.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:SC:79222",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0412",
            "parent_org": "Molina Healthcare",
            "plan_name": "Molina Marketplace South Carolina",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "SC",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 13,
            "std_denial_rate_printed": 13,
            "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": 10,
            "ext_review_approved": null,
            "std_tat_mean_days": 5,
            "std_tat_median_days": 4,
            "exp_tat_mean_hours": 25,
            "exp_tat_median_hours": 23,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.molinamarketplace.com/marketplace/sc/en-us/Providers/Provider-Forms.aspx",
            "source_segment": "wave2",
            "extraction_note": "Percentages only. Entity named 'Molina Clinical Services, LLC' in the document; state attribution from page placement.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:SC:42326",
            "filing_unit": "qhp_issuer"
        }
    ]
}