{
    "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": "f0240",
            "parent_org": "Fallon Health",
            "plan_name": "Fallon Health – Atrius Health Care Collaborative (365 Care)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MA",
            "reporting_period": "CY2025",
            "std_total": 18169,
            "std_approved": 16929,
            "std_denied": 1240,
            "std_denial_rate": 6.82,
            "std_denial_rate_printed": 7,
            "std_appeals_total": 171,
            "std_appeals_overturned": 129,
            "std_appeal_overturn_rate": 75.44,
            "exp_total": 2705,
            "exp_approved": 2619,
            "exp_denied": 86,
            "exp_denial_rate": 3.18,
            "ext_review_approved": null,
            "std_tat_mean_days": 3,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 6,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.fallonhealth.org/en/atriushealth/pa-reporting",
            "source_segment": "w3_newengland",
            "extraction_note": "Page title is 'Prior authorization transparency and reporting' for 'Fallon Health-Atrius Health Care Collaborative'; the exact plan/product is not named beyond this on the page. This is very likely the Fallon 365 Care MassHealth ACO Partnership Plan product, so coverage_type Medicaid Managed Care is an inference from context, not a printed label — treat with caution. All denial/overturn percentages (7%, 3%, 75%) are printed on the page next to the counts, verified verbatim (not calculated by the collector)."
        }
    ]
}