{
    "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": "f0114",
            "parent_org": "CareOregon",
            "plan_name": "Columbia Pacific CCO",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "OR",
            "reporting_period": "CY2025",
            "std_total": 15531,
            "std_approved": 14569,
            "std_denied": 1230,
            "std_denial_rate": 7.92,
            "std_denial_rate_printed": 7.92,
            "std_appeals_total": 145,
            "std_appeals_overturned": 44,
            "std_appeal_overturn_rate": 30.34,
            "exp_total": 2712,
            "exp_approved": 2582,
            "exp_denied": 148,
            "exp_denial_rate": 5.46,
            "ext_review_approved": 65,
            "std_tat_mean_days": 3.23,
            "std_tat_median_days": 3,
            "exp_tat_mean_hours": 13,
            "exp_tat_median_hours": 13,
            "reports_counts": true,
            "quality_flags": "error:std_counts_reconcile; error:exp_counts_reconcile",
            "error_count": 2,
            "warn_count": 0,
            "source_url": "https://www.colpachealth.org/members/prior-authorization-metrics-reporting",
            "source_segment": "w3_west",
            "extraction_note": "Numbers recorded exactly as printed. Standard approved (14,569) + denied (1,230) = 15,799 vs printed std_total 15,531 (gap of 268) — flagged, not corrected. Expedited approved (2,582) + denied (148) = 2,730 vs printed exp_total 2,712 (gap of 18) — also flagged. Page prints an additional expedited extended-review figure as '20 out of 31 instances (64.51%)', which has no matching schema field and is recorded here only."
        },
        {
            "filing_id": "f0115",
            "parent_org": "CareOregon",
            "plan_name": "Jackson Care Connect",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "OR",
            "reporting_period": "CY2025",
            "std_total": 34544,
            "std_approved": 32263,
            "std_denied": 2631,
            "std_denial_rate": 7.62,
            "std_denial_rate_printed": 7.61,
            "std_appeals_total": 323,
            "std_appeals_overturned": 99,
            "std_appeal_overturn_rate": 30.65,
            "exp_total": 3749,
            "exp_approved": 3623,
            "exp_denied": 157,
            "exp_denial_rate": 4.19,
            "ext_review_approved": 155,
            "std_tat_mean_days": 3.85,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 18,
            "exp_tat_median_hours": 18,
            "reports_counts": true,
            "quality_flags": "error:std_counts_reconcile; error:exp_counts_reconcile",
            "error_count": 2,
            "warn_count": 0,
            "source_url": "https://www.jacksoncareconnect.org/members/prior-authorization-metrics-reporting",
            "source_segment": "w3_west",
            "extraction_note": "Numbers recorded exactly as printed. Standard approved (32,263) + denied (2,631) = 34,894, which does not match the printed std_total of 34,544 (a gap of 350) — flagged, not corrected. Expedited approved (3,623) + denied (157) = 3,780 vs printed exp_total of 3,749 (gap of 31) — also flagged. Page additionally prints 'expedited approved after extended review time: 26 (0.70%)' for which there is no schema field (only std has an ext_review_approved slot); recorded here only."
        }
    ]
}