{
    "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": "f0241",
            "parent_org": "Geisinger Health",
            "plan_name": "Geisinger Health Plan (all lines of business, aggregated)",
            "contract_id": null,
            "coverage_type": "Medicare Advantage",
            "state": "PA",
            "reporting_period": "CY2025",
            "std_total": 311379,
            "std_approved": 295329,
            "std_denied": 15932,
            "std_denial_rate": 5.12,
            "std_denial_rate_printed": null,
            "std_appeals_total": 1963,
            "std_appeals_overturned": 909,
            "std_appeal_overturn_rate": 46.31,
            "exp_total": 3039,
            "exp_approved": 2830,
            "exp_denied": 168,
            "exp_denial_rate": 5.53,
            "ext_review_approved": 1627,
            "std_tat_mean_days": 0.84,
            "std_tat_median_days": 0.01,
            "exp_tat_mean_hours": 0.69,
            "exp_tat_median_hours": 0.04,
            "reports_counts": true,
            "quality_flags": "error:exp_counts_reconcile",
            "error_count": 1,
            "warn_count": 0,
            "source_url": "https://www.geisinger.org/health-plan/members/prior-authorization-report",
            "source_segment": "regional",
            "extraction_note": "MAJOR CAVEAT: one aggregated table covering MA, Medicaid and QHP with no per-line breakout; coverage_type is a placeholder and these figures are NOT MA-specific. TAT columns carry no unit labels; expedited unit is an assumption."
        }
    ]
}