{
    "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": "f0215",
            "parent_org": "Driscoll Health Plan",
            "plan_name": "Driscoll Health Plan STAR Kids",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "TX",
            "reporting_period": "2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 18,
            "std_denial_rate_printed": 18,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 23,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 2,
            "ext_review_approved": null,
            "std_tat_mean_days": null,
            "std_tat_median_days": null,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://driscollhealthplan.com/wp-content/uploads/2025-Denials-and-Approval-Rates-STAR-Kids.pdf",
            "source_segment": "w3_tx_south",
            "extraction_note": "Same TOTALS-row format as Driscoll STAR: '22,709  82%  18%  23%  0%  98%  2%' -- one grand total (std+exp combined) followed by percentages only, no raw approved/denied counts for either track. std_total/approved/denied left null rather than split or computed. Per-service completion-time PDF (https://driscollhealthplan.com/wp-content/uploads/2025_Completion_Times_STAR_Kids.pdf) has no overall aggregate; TAT fields omitted."
        },
        {
            "filing_id": "f0214",
            "parent_org": "Driscoll Health Plan",
            "plan_name": "Driscoll Health Plan STAR",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "TX",
            "reporting_period": "2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 17,
            "std_denial_rate_printed": 17,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": 28,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 4,
            "ext_review_approved": null,
            "std_tat_mean_days": null,
            "std_tat_median_days": null,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://driscollhealthplan.com/wp-content/uploads/2025-Denials-and-Approval-Rates-STAR.pdf",
            "source_segment": "w3_tx_south",
            "extraction_note": "Document is a per-service-type breakdown table with a single TOTALS row reading '47,349  83%  17%  28%  0%  96%  4%' -- one grand total of prior authorization requests (standard + expedited combined, not split by track) followed by: % approved, % denied, % approved-on-appeal, % approved-after-extended-timeframe, % expedited approved, % expedited denied. No raw approved/denied counts are printed for either track, only percentages, so std_total/std_approved/std_denied/exp_total/exp_approved/exp_denied are left null rather than computed or split. A separate per-service completion-time PDF (https://driscollhealthplan.com/wp-content/uploads/2025_Completion_Times_STAR.pdf) gives individual service mean/median times in days/hours/minutes but no single overall aggregate, so turnaround fields are omitted entirely for this filing."
        },
        {
            "filing_id": "f0213",
            "parent_org": "Driscoll Health Plan",
            "plan_name": "Driscoll Health Plan CHIP",
            "contract_id": null,
            "coverage_type": "CHIP Managed Care",
            "state": "TX",
            "reporting_period": "2025",
            "std_total": null,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 11,
            "std_denial_rate_printed": 11,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": null,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": null,
            "ext_review_approved": null,
            "std_tat_mean_days": null,
            "std_tat_median_days": null,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://driscollhealthplan.com/wp-content/uploads/2025-Denials-and-Approval-Rates-CHIP.pdf",
            "source_segment": "w3_tx_south",
            "extraction_note": "TOTALS row: '357 requests, 89% approved, 11% denied'; appeal and extended-review fields are blank/'none' in the document, and expedited fields show no populated data ('tbd DA report' for completion times, no expedited requests or denials recorded) -- plan appears to have had no expedited CHIP volume or did not report it. No raw approved/denied counts given, only the total request count and percentages. Per-service completion-time PDF has no overall aggregate; TAT fields omitted."
        }
    ]
}