{
    "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": "f0118",
            "parent_org": "CareSource",
            "plan_name": "CareSource Ohio Medicaid",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "OH",
            "reporting_period": "CY2025",
            "std_total": 603377,
            "std_approved": 482701,
            "std_denied": 120676,
            "std_denial_rate": 20,
            "std_denial_rate_printed": null,
            "std_appeals_total": 7572,
            "std_appeals_overturned": 2802,
            "std_appeal_overturn_rate": 37,
            "exp_total": 9563,
            "exp_approved": 7076,
            "exp_denied": 2487,
            "exp_denial_rate": 26.01,
            "ext_review_approved": 0,
            "std_tat_mean_days": 4,
            "std_tat_median_days": 4,
            "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://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/Providers/Billing/PriorAuthorization/Managed_Care-FinalPDF.pdf",
            "source_segment": "states",
            "extraction_note": "Largest plan by volume in the Ohio Medicaid managed care file."
        },
        {
            "filing_id": "f0116",
            "parent_org": "CareSource",
            "plan_name": "CareSource Georgia (Georgia Families)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "GA",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 19,
            "std_denial_rate_printed": 19,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 14,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 10,
            "ext_review_approved": null,
            "std_tat_mean_days": 1.71,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 21,
            "exp_tat_median_hours": 14,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.caresource.com/documents/ga-med-p-4922803-2025-interoperability-prior-authorizations-metrics-report.pdf",
            "source_segment": "wave2",
            "extraction_note": "Percentages only. Standard TAT printed in HOURS and converted to days. Approved by Georgia DCH 12/29/25."
        },
        {
            "filing_id": "f0117",
            "parent_org": "CareSource",
            "plan_name": "CareSource MyCare Ohio",
            "contract_id": null,
            "coverage_type": "Medicare-Medicaid Plan",
            "state": "OH",
            "reporting_period": "CY2025",
            "std_total": 61235,
            "std_approved": 55108,
            "std_denied": 6127,
            "std_denial_rate": 10.01,
            "std_denial_rate_printed": null,
            "std_appeals_total": 1911,
            "std_appeals_overturned": 669,
            "std_appeal_overturn_rate": 35.01,
            "exp_total": 2313,
            "exp_approved": 2058,
            "exp_denied": 255,
            "exp_denial_rate": 11.02,
            "ext_review_approved": 0,
            "std_tat_mean_days": 8,
            "std_tat_median_days": 7,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/Providers/Billing/PriorAuthorization/MyCare_-_FInalPDF.pdf",
            "source_segment": "states",
            "extraction_note": "Slowest standard turnaround in the MyCare file, roughly double this plan's own Ohio Medicaid line."
        }
    ]
}