{
    "meta": {
        "total": 2,
        "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": "f0108",
            "parent_org": "CalOptima Health",
            "plan_name": "CalOptima Health Medi-Cal",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "CA",
            "reporting_period": "CY2025",
            "std_total": 965191,
            "std_approved": 948623,
            "std_denied": 16568,
            "std_denial_rate": 1.72,
            "std_denial_rate_printed": null,
            "std_appeals_total": 1080,
            "std_appeals_overturned": 306,
            "std_appeal_overturn_rate": 28.33,
            "exp_total": 140631,
            "exp_approved": 136258,
            "exp_denied": 4373,
            "exp_denial_rate": 3.11,
            "ext_review_approved": 1955,
            "std_tat_mean_days": 1.41,
            "std_tat_median_days": 0.53,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 2.88,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.caloptima.org/en/about-us/transparency",
            "source_segment": "ca_ny",
            "extraction_note": "Largest single Medicaid filing in the dataset. Expedited mean (0.00d) below median (0.12d) as published. Expedited TAT converted days->hours."
        },
        {
            "filing_id": "f0109",
            "parent_org": "CalOptima Health",
            "plan_name": "CalOptima Health OneCare (HMO D-SNP)",
            "contract_id": null,
            "coverage_type": "Medicare Advantage",
            "state": "CA",
            "reporting_period": "CY2025",
            "std_total": 94832,
            "std_approved": 93521,
            "std_denied": 1311,
            "std_denial_rate": 1.38,
            "std_denial_rate_printed": null,
            "std_appeals_total": 108,
            "std_appeals_overturned": 33,
            "std_appeal_overturn_rate": 30.56,
            "exp_total": 13534,
            "exp_approved": 13277,
            "exp_denied": 257,
            "exp_denial_rate": 1.9,
            "ext_review_approved": 230,
            "std_tat_mean_days": 1.8,
            "std_tat_median_days": 0.7,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 2.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.caloptima.org/en/about-us/transparency",
            "source_segment": "ca_ny",
            "extraction_note": "Expedited mean below median as published. Expedited TAT converted days->hours."
        }
    ]
}