{
    "meta": {
        "total": 3,
        "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": "christus-h1189",
            "parent_org": "CHRISTUS Health",
            "plan_name": "CHRISTUS Health Plan",
            "contract_id": "H1189_PC2607",
            "coverage_type": "Medicare Advantage",
            "state": "TX",
            "reporting_period": "CY2025",
            "std_total": 401,
            "std_approved": 365,
            "std_denied": 36,
            "std_denial_rate": 8.98,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 0,
            "std_appeal_overturn_rate": null,
            "exp_total": 27,
            "exp_approved": 27,
            "exp_denied": 0,
            "exp_denial_rate": 0,
            "ext_review_approved": 0,
            "std_tat_mean_days": 3,
            "std_tat_median_days": 2,
            "exp_tat_mean_hours": 26.4,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://chppayment.christushealth.org/documents/2026/General/CMS%200057-%20PA%20metrics_2025_PC2607.pdf",
            "source_segment": "filings_2025",
            "extraction_note": null
        },
        {
            "filing_id": "christus-pc2659",
            "parent_org": "CHRISTUS Health",
            "plan_name": "CHRISTUS Health Plan (LA Marketplace)",
            "contract_id": "PC2659",
            "coverage_type": "Marketplace QHP",
            "state": "LA",
            "reporting_period": "CY2025",
            "std_total": 351,
            "std_approved": 325,
            "std_denied": 26,
            "std_denial_rate": 7.41,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 0,
            "std_appeal_overturn_rate": null,
            "exp_total": 62,
            "exp_approved": 59,
            "exp_denied": 3,
            "exp_denial_rate": 4.84,
            "ext_review_approved": 0,
            "std_tat_mean_days": 2.3,
            "std_tat_median_days": 2,
            "exp_tat_mean_hours": 36,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://chppayment.christushealth.org/documents/2026/General/LA%20HIX%20Determination%20statistics_PC2659.pdf",
            "source_segment": "filings_2025",
            "extraction_note": null
        },
        {
            "filing_id": "christus-pc2658",
            "parent_org": "CHRISTUS Health",
            "plan_name": "CHRISTUS Health Plan (TX Marketplace)",
            "contract_id": "PC2658",
            "coverage_type": "Marketplace QHP",
            "state": "TX",
            "reporting_period": "CY2025",
            "std_total": 2816,
            "std_approved": 2680,
            "std_denied": 136,
            "std_denial_rate": 4.83,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 1,
            "std_appeal_overturn_rate": 12,
            "exp_total": 514,
            "exp_approved": 494,
            "exp_denied": 20,
            "exp_denial_rate": 3.89,
            "ext_review_approved": null,
            "std_tat_mean_days": 3.4,
            "std_tat_median_days": 3,
            "exp_tat_mean_hours": 52.8,
            "exp_tat_median_hours": 48,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://chppayment.christushealth.org/documents/2026/General/TX%20HIX%20Determination%20statistics_PC2658.pdf",
            "source_segment": "filings_2025",
            "extraction_note": null
        }
    ]
}