{
    "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": "f0026",
            "parent_org": "Blue Cross & Blue Shield of Rhode Island",
            "plan_name": "Blue Cross & Blue Shield of Rhode Island (all impacted lines combined)",
            "contract_id": null,
            "coverage_type": "Multiple (combined)",
            "state": "RI",
            "reporting_period": "CY2025",
            "std_total": 68179,
            "std_approved": 64815,
            "std_denied": 3364,
            "std_denial_rate": 4.93,
            "std_denial_rate_printed": 4.93,
            "std_appeals_total": null,
            "std_appeals_overturned": 708,
            "std_appeal_overturn_rate": null,
            "exp_total": 6701,
            "exp_approved": 6431,
            "exp_denied": 270,
            "exp_denial_rate": 4.03,
            "ext_review_approved": 0,
            "std_tat_mean_days": 1,
            "std_tat_median_days": null,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.bcbsri.com/sitefiles/bcbsri-interoperability-metrics",
            "source_segment": "blues",
            "extraction_note": "coverage_type does NOT fit the required enum: BCBSRI publishes ONE combined set of figures spanning MA, Medicaid managed care, CHIP managed care and QHP business, with no per-plan or per-contract breakout, so the value is recorded as 'Multiple (combined)' rather than guessing a single line of business. Only the appeal OVERTURN count is published (708 approved after appeal); no appeal denominator, so std_appeals_total and overturn pct are null. Median standard TAT and both expedited TATs are printed as '<1 day' and are therefore null; standard mean is printed as '1 day'."
        }
    ]
}