{
    "meta": {
        "total": 4,
        "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": "f0029",
            "parent_org": "Blue Cross Blue Shield of Arizona",
            "plan_name": "AZ Blue Individual ACA",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "AZ",
            "reporting_period": "CY2025",
            "std_total": 34329,
            "std_approved": 29927,
            "std_denied": 4402,
            "std_denial_rate": 12.82,
            "std_denial_rate_printed": null,
            "std_appeals_total": 363,
            "std_appeals_overturned": 164,
            "std_appeal_overturn_rate": 45.18,
            "exp_total": 3124,
            "exp_approved": 2832,
            "exp_denied": 292,
            "exp_denial_rate": 9.35,
            "ext_review_approved": 31,
            "std_tat_mean_days": 3.45,
            "std_tat_median_days": 0.32,
            "exp_tat_mean_hours": 20.36,
            "exp_tat_median_hours": 2.9,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.azblue.com/m/3a748505efc6198f/original/2025-ACA-Prior-Auth-Metrics-Report.pdf",
            "source_segment": "wave2",
            "extraction_note": null
        },
        {
            "filing_id": "f0027",
            "parent_org": "Blue Cross Blue Shield of Arizona",
            "plan_name": "AZ Blue Health Choice (AHCCCS)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "AZ",
            "reporting_period": "CY2025",
            "std_total": 71937,
            "std_approved": 63222,
            "std_denied": 8715,
            "std_denial_rate": 12.11,
            "std_denial_rate_printed": null,
            "std_appeals_total": 296,
            "std_appeals_overturned": 111,
            "std_appeal_overturn_rate": 37.5,
            "exp_total": 10209,
            "exp_approved": 9416,
            "exp_denied": 793,
            "exp_denial_rate": 7.77,
            "ext_review_approved": 49,
            "std_tat_mean_days": 3.96,
            "std_tat_median_days": 1.09,
            "exp_tat_mean_hours": 16.1,
            "exp_tat_median_hours": 2.78,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.azblue.com/m/111e9ce8c59e052a/original/2025-Medicaid-Metrics-Report.pdf",
            "source_segment": "wave2",
            "extraction_note": null
        },
        {
            "filing_id": "f0028",
            "parent_org": "Blue Cross Blue Shield of Arizona",
            "plan_name": "AZ Blue Health Choice Pathway (D-SNP)",
            "contract_id": null,
            "coverage_type": "Medicare Advantage",
            "state": "AZ",
            "reporting_period": "CY2025",
            "std_total": 11931,
            "std_approved": 10928,
            "std_denied": 1003,
            "std_denial_rate": 8.41,
            "std_denial_rate_printed": null,
            "std_appeals_total": 138,
            "std_appeals_overturned": 71,
            "std_appeal_overturn_rate": 51.45,
            "exp_total": 1218,
            "exp_approved": 1136,
            "exp_denied": 82,
            "exp_denial_rate": 6.73,
            "ext_review_approved": 6,
            "std_tat_mean_days": 3.78,
            "std_tat_median_days": 1.98,
            "exp_tat_mean_hours": 19.93,
            "exp_tat_median_hours": 2.82,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.azblue.com/m/7d1ddd4e92f179c2/original/2025-DSNP-Metrics-Report.pdf",
            "source_segment": "wave2",
            "extraction_note": null
        },
        {
            "filing_id": "f0030",
            "parent_org": "Blue Cross Blue Shield of Arizona",
            "plan_name": "AZ Blue Medicare Advantage",
            "contract_id": null,
            "coverage_type": "Medicare Advantage",
            "state": "AZ",
            "reporting_period": "CY2025",
            "std_total": 37315,
            "std_approved": 35217,
            "std_denied": 2098,
            "std_denial_rate": 5.62,
            "std_denial_rate_printed": null,
            "std_appeals_total": 477,
            "std_appeals_overturned": 434,
            "std_appeal_overturn_rate": 90.99,
            "exp_total": 4443,
            "exp_approved": 4174,
            "exp_denied": 269,
            "exp_denial_rate": 6.05,
            "ext_review_approved": 18,
            "std_tat_mean_days": 2.11,
            "std_tat_median_days": null,
            "exp_tat_mean_hours": 11.83,
            "exp_tat_median_hours": 2.52,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.azblue.com/m/4f85025f7b61a595/original/2025-MA-Prior-Auth-Metrics-Report.pdf",
            "source_segment": "wave2",
            "extraction_note": "Standard median printed as '<1 day' with no numeric value, so left null."
        }
    ]
}