{
    "filing": {
        "filing_id": "f0042",
        "parent_org": "Blue Cross and Blue Shield of Nebraska",
        "plan_name": "BCBSNE Medicare Advantage HMO",
        "contract_id": null,
        "coverage_type": "Medicare Advantage",
        "state": "NE",
        "reporting_period": "CY2025",
        "std_total": null,
        "std_approved": null,
        "std_denied": null,
        "std_denial_rate": 4,
        "std_denial_rate_printed": 4,
        "std_appeals_total": null,
        "std_appeals_overturned": null,
        "std_appeal_overturn_rate": null,
        "exp_total": null,
        "exp_approved": null,
        "exp_denied": null,
        "exp_denial_rate": 2,
        "ext_review_approved": null,
        "std_tat_mean_days": 2,
        "std_tat_median_days": 1,
        "exp_tat_mean_hours": 10,
        "exp_tat_median_hours": 1,
        "reports_counts": false,
        "quality_flags": "info:appeals_not_reported; info:percentages_only",
        "error_count": 0,
        "warn_count": 0,
        "source_url": "https://www.nebraskablue.com/shop-plans/individual-and-family-plans/Interoperability-Resources",
        "source_segment": "blues",
        "extraction_note": "PERCENTAGES ONLY - no raw counts or denominators published. Extended review listed as N/A; BCBSNE states it does not use extended review periods. Standard deadline stated as 14 days. 'Approved after appeal' 1% is a share of all requests, not an overturn rate.",
        "source_sha256": null,
        "service_list_url": null,
        "service_list_items": null,
        "entity_id": "ma:H3170",
        "filing_unit": "ma_contract"
    },
    "findings": [
        {
            "rule": "appeals_not_reported",
            "severity": "info",
            "detail": "no appeal outcome data published"
        },
        {
            "rule": "percentages_only",
            "severity": "info",
            "detail": "filing publishes percentages without underlying counts; arithmetic cannot be verified"
        }
    ]
}