{
    "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": "f0119",
            "parent_org": "CareFirst BlueCross BlueShield",
            "plan_name": "CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MD",
            "reporting_period": "Jan 1, 2025 - Dec 31, 2025",
            "std_total": 27624,
            "std_approved": 25640,
            "std_denied": 1984,
            "std_denial_rate": 7.18,
            "std_denial_rate_printed": 7.18,
            "std_appeals_total": 821,
            "std_appeals_overturned": 51,
            "std_appeal_overturn_rate": 6.21,
            "exp_total": 807,
            "exp_approved": 764,
            "exp_denied": 43,
            "exp_denial_rate": 5.33,
            "ext_review_approved": 16,
            "std_tat_mean_days": 2.58,
            "std_tat_median_days": 2,
            "exp_tat_mean_hours": 23.1,
            "exp_tat_median_hours": 9,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.carefirst.com/medicaid/attachments/2026-chpmd-prior-authorization-metrics-report-english.pdf",
            "source_segment": "blues",
            "extraction_note": "APPEALS DO NOT RECONCILE: the document shows 821 total appeals but only 51 approved/overturned and 77 denied (standard) plus 3 denied (expedited); 51+77+3 = 131, not 821. std_appeals_total is recorded as printed (821) and std_appeal_overturn_pct is left null rather than computed from irreconcilable figures. Extended-review values are the standard-request 'approved/denied after timeframe extension' rows (16 approved / 3 denied); expedited had 2 approved after extension. Within-timeframe sub-counts: 25,495 approved and 1,960 denied within 14 days (standard); 704 approved and 33 denied within 72 hours (expedited).",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "mcd:MD:carefirst-bluecross-blueshield-community-health-plan-marylan",
            "filing_unit": "medicaid_plan"
        }
    ]
}