{
    "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": "f0252",
            "parent_org": "Hawaii Med-QUEST",
            "plan_name": "Med-QUEST aggregate (QUEST Integration plans plus FFS)",
            "contract_id": null,
            "coverage_type": "Medicaid FFS",
            "state": "HI",
            "reporting_period": "CY2025",
            "std_total": 122333,
            "std_approved": null,
            "std_denied": null,
            "std_denial_rate": 8.3,
            "std_denial_rate_printed": 8.3,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": null,
            "exp_total": 19581,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": 2.9,
            "ext_review_approved": null,
            "std_tat_mean_days": 4.2,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 17.3,
            "exp_tat_median_hours": 7,
            "reports_counts": false,
            "quality_flags": "info:appeals_not_reported; info:percentages_only",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://medquest.hawaii.gov/content/dam/formsanddocuments/med-quest/prior-authorization-reporting-metrics/Prior%20Auth%20CY%202025_updated%206.2026.pdf",
            "source_segment": "states",
            "extraction_note": "Totals plus percentages only, no approved/denied counts. Managed care and FFS are blended into one aggregate with no per-plan breakout."
        }
    ]
}