{
    "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": "f0045",
            "parent_org": "Blue Shield of California",
            "plan_name": "Blue Shield of California Promise Health Plan (Medi-Cal)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "CA",
            "reporting_period": "CY2025",
            "std_total": 892009,
            "std_approved": 886006,
            "std_denied": 6003,
            "std_denial_rate": 0.67,
            "std_denial_rate_printed": null,
            "std_appeals_total": 392,
            "std_appeals_overturned": 90,
            "std_appeal_overturn_rate": 22.96,
            "exp_total": 113125,
            "exp_approved": 111918,
            "exp_denied": 1207,
            "exp_denial_rate": 1.07,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 5,
            "exp_tat_median_hours": 1,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.blueshieldca.com/content/dam/bsca/en/promise/docs/2025/Prior-Auth-Metrics-Promise-2025.pdf",
            "source_segment": "ca_ny",
            "extraction_note": "Counts sum cleanly. Extended-timeframe published as totals with percent approved only, so no count recorded."
        }
    ]
}