{
    "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": "f0473",
            "parent_org": "Sentara Health",
            "plan_name": "Sentara Health Plans - Medicaid (Cardinal Care)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "VA",
            "reporting_period": "CY2025",
            "std_total": 228807,
            "std_approved": 183059,
            "std_denied": 45748,
            "std_denial_rate": 19.99,
            "std_denial_rate_printed": null,
            "std_appeals_total": 1363,
            "std_appeals_overturned": 443,
            "std_appeal_overturn_rate": 32.5,
            "exp_total": 121645,
            "exp_approved": 105748,
            "exp_denied": 15897,
            "exp_denial_rate": 13.07,
            "ext_review_approved": 0,
            "std_tat_mean_days": 6.4,
            "std_tat_median_days": 5,
            "exp_tat_mean_hours": 26.2,
            "exp_tat_median_hours": 22.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.sentarahealthplans.com/en/company/policies/prior-authorization-metrics",
            "source_segment": "regional",
            "extraction_note": "Expedited volume is 35% of all requests, unusually high.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "mcd:VA:sentara-health-plans",
            "filing_unit": "medicaid_plan"
        }
    ]
}