{
    "meta": {
        "total": 5,
        "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": "f0050",
            "parent_org": "CDPHP",
            "plan_name": "CDPHP Child Health Plus",
            "contract_id": null,
            "coverage_type": "CHIP Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 455,
            "std_approved": 373,
            "std_denied": 82,
            "std_denial_rate": 18.02,
            "std_denial_rate_printed": null,
            "std_appeals_total": 15,
            "std_appeals_overturned": 3,
            "std_appeal_overturn_rate": 20,
            "exp_total": 47,
            "exp_approved": 46,
            "exp_denied": 1,
            "exp_denial_rate": 2.13,
            "ext_review_approved": 2,
            "std_tat_mean_days": 7,
            "std_tat_median_days": 5,
            "exp_tat_mean_hours": 35,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.cdphp.com/-/media/files/otherpdfs/interoperabiity-auth-study-chp.pdf",
            "source_segment": "regional",
            "extraction_note": "TAT units unlabeled; inferred.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": null,
            "filing_unit": null
        },
        {
            "filing_id": "f0052",
            "parent_org": "CDPHP",
            "plan_name": "CDPHP Medicaid HARP",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 1770,
            "std_approved": 1540,
            "std_denied": 230,
            "std_denial_rate": 12.99,
            "std_denial_rate_printed": null,
            "std_appeals_total": 24,
            "std_appeals_overturned": 4,
            "std_appeal_overturn_rate": 16.67,
            "exp_total": 57,
            "exp_approved": 57,
            "exp_denied": 0,
            "exp_denial_rate": 0,
            "ext_review_approved": 0,
            "std_tat_mean_days": 2.1,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.cdphp.com/-/media/files/otherpdfs/interoperabiity-auth-study-medicaid-harp.pdf",
            "source_segment": "regional",
            "extraction_note": "Expedited row shows 57 approved (100%) yet 52 approved and 5 denied within 72 hours, contradicting 0 denials.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": null,
            "filing_unit": null
        },
        {
            "filing_id": "f0051",
            "parent_org": "CDPHP",
            "plan_name": "CDPHP Managed Medicaid",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 8366,
            "std_approved": 7335,
            "std_denied": 1031,
            "std_denial_rate": 12.32,
            "std_denial_rate_printed": null,
            "std_appeals_total": 138,
            "std_appeals_overturned": 34,
            "std_appeal_overturn_rate": 24.64,
            "exp_total": 680,
            "exp_approved": 674,
            "exp_denied": 6,
            "exp_denial_rate": 0.88,
            "ext_review_approved": 7,
            "std_tat_mean_days": 3.6,
            "std_tat_median_days": 2,
            "exp_tat_mean_hours": 33,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.cdphp.com/-/media/files/otherpdfs/interoperabiity-auth-study-medicaid.pdf",
            "source_segment": "regional",
            "extraction_note": "TAT units unlabeled; inferred.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": null,
            "filing_unit": null
        },
        {
            "filing_id": "f0053",
            "parent_org": "CDPHP",
            "plan_name": "CDPHP Medicare HMO",
            "contract_id": "H3388",
            "coverage_type": "Medicare Advantage",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 19167,
            "std_approved": 16891,
            "std_denied": 2276,
            "std_denial_rate": 11.87,
            "std_denial_rate_printed": null,
            "std_appeals_total": 270,
            "std_appeals_overturned": 173,
            "std_appeal_overturn_rate": 64.07,
            "exp_total": 1323,
            "exp_approved": 1284,
            "exp_denied": 39,
            "exp_denial_rate": 2.95,
            "ext_review_approved": 5,
            "std_tat_mean_days": 3,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 31,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.cdphp.com/-/media/files/otherpdfs/interoperabiity-auth-study-medicare-hmo.pdf",
            "source_segment": "regional",
            "extraction_note": "TAT columns carry no unit labels in this PDF; units inferred from the companion HARP filing.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "ma:H3388",
            "filing_unit": "ma_contract"
        },
        {
            "filing_id": "f0054",
            "parent_org": "CDPHP",
            "plan_name": "CDPHP Medicare PPO",
            "contract_id": "H5042",
            "coverage_type": "Medicare Advantage",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 4069,
            "std_approved": 3662,
            "std_denied": 407,
            "std_denial_rate": 10,
            "std_denial_rate_printed": null,
            "std_appeals_total": 69,
            "std_appeals_overturned": 38,
            "std_appeal_overturn_rate": 55.07,
            "exp_total": 279,
            "exp_approved": 265,
            "exp_denied": 14,
            "exp_denial_rate": 5.02,
            "ext_review_approved": 3,
            "std_tat_mean_days": 3,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 29,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.cdphp.com/-/media/files/otherpdfs/interoperabiity-auth-study-medicare-ppo.pdf",
            "source_segment": "regional",
            "extraction_note": "TAT units unlabeled; inferred.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "ma:H5042",
            "filing_unit": "ma_contract"
        }
    ]
}