{
    "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": "f0192",
            "parent_org": "Central California Alliance for Health",
            "plan_name": "Central California Alliance for Health",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "CA",
            "reporting_period": "CY2025",
            "std_total": 518170,
            "std_approved": 510141,
            "std_denied": 8029,
            "std_denial_rate": 1.55,
            "std_denial_rate_printed": null,
            "std_appeals_total": 434,
            "std_appeals_overturned": 99,
            "std_appeal_overturn_rate": 22.81,
            "exp_total": 30388,
            "exp_approved": 30300,
            "exp_denied": 88,
            "exp_denial_rate": 0.29,
            "ext_review_approved": 900,
            "std_tat_mean_days": 1.52,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 8.64,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://thealliance.health/about-the-alliance/regulatory-information/prior-authorization-metrics-for-medical-items-and-services/",
            "source_segment": "ca_ny",
            "extraction_note": "Medi-Cal and Alliance TotalCare D-SNP combined without breakout. Expedited TAT converted days->hours. Appeals not split standard vs expedited."
        }
    ]
}