{
    "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": "f0031",
            "parent_org": "Blue Cross Blue Shield of Michigan",
            "plan_name": "Blue Cross Complete of Michigan",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MI",
            "reporting_period": "CY2025",
            "std_total": 243159,
            "std_approved": 158307,
            "std_denied": 84816,
            "std_denial_rate": 34.88,
            "std_denial_rate_printed": 34.9,
            "std_appeals_total": null,
            "std_appeals_overturned": 893,
            "std_appeal_overturn_rate": null,
            "exp_total": 11241,
            "exp_approved": 9318,
            "exp_denied": 1921,
            "exp_denial_rate": 17.09,
            "ext_review_approved": null,
            "std_tat_mean_days": 5.9,
            "std_tat_median_days": 4,
            "exp_tat_mean_hours": 31.8,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.mibluecrosscomplete.com/important-information/prior-authorization/",
            "source_segment": "blues",
            "extraction_note": "OUTLIER: 34.90% standard denial rate is several times higher than any other filing in this segment - worth verifying against the plan's own PDF before use. Approved+denied (158,307+84,816=243,123) is 36 short of the stated 243,159 total, which matches the separately reported 36 'approved other than requested' (2 for expedited). Appeals: only overturn COUNTS are published (893 standard, 60 expedited) with no appeal denominator, so std_appeals_total and overturn pct are null. Extended review published only as a percentage of approved requests (1.10% standard, 0.20% expedited), so ext_review counts are null. This is the BCBSM Medicaid subsidiary; no separate BCBSM commercial/MA filing was located."
        }
    ]
}