{
    "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": "Cascade Health Alliance",
            "plan_name": "Cascade Health Alliance",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "OR",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 13.65,
            "std_denial_rate_printed": 13.65,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 4.23,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 4.88,
            "ext_review_approved": null,
            "std_tat_mean_days": 5.24,
            "std_tat_median_days": 5,
            "exp_tat_mean_hours": 11.64,
            "exp_tat_median_hours": 3,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://res.cloudinary.com/dpmykpsih/image/upload/cascade-health-site-355/media/c5fae54b11fd48dea8cb61d1052a47d7/2025-cha-prior-authorization-metrics-final-metrics.pdf",
            "source_segment": "w3_west",
            "extraction_note": "Percentages only, no counts published (reports_counts=false). Document notes the 13.65% standard-denied figure represents requests 'denied fully or partially' (combined category) rather than a pure denial rate. Document also prints 'extended timeframe with approval: 0.01%' (standard), for which there is no percentage-capable ext-review field; recorded here only. Appeal-overturn percentage's denominator (of denials, or of all standard requests) is not stated in the document."
        }
    ]
}