{
    "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": "f0255",
            "parent_org": "HealthPartners",
            "plan_name": "HealthPartners Commercial Wisconsin Federally Facilitated Exchange (on-exchange QHP) plans",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "WI",
            "reporting_period": "CY2025 (January 1, 2025 - December 31, 2025)",
            "std_total": 1172,
            "std_approved": 1011,
            "std_denied": 161,
            "std_denial_rate": 13.74,
            "std_denial_rate_printed": 14,
            "std_appeals_total": 19,
            "std_appeals_overturned": 16,
            "std_appeal_overturn_rate": 84.21,
            "exp_total": 108,
            "exp_approved": 92,
            "exp_denied": 16,
            "exp_denial_rate": 14.81,
            "ext_review_approved": null,
            "std_tat_mean_days": 4,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 21.68,
            "exp_tat_median_hours": 0.72,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.healthpartners.com/content/dam/corporate/integrity-compliance/pa-reporting-cy2025-ma-medadv-msho-indwionexch.pdf",
            "source_segment": "w3_midwest",
            "extraction_note": "Document labels this line 'QHP issuers on the FFEs (HealthPartners Commercial WI Federally Facilitated Exchange Products)'. Expedited appeals reported separately (1 total, 0 overturned) but no exp_appeals field exists in this schema; noted here only."
        },
        {
            "filing_id": "f0257",
            "parent_org": "HealthPartners",
            "plan_name": "HealthPartners Minnesota Health Care Programs (Medicaid)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MN",
            "reporting_period": "CY2025 (January 1, 2025 - December 31, 2025)",
            "std_total": 11816,
            "std_approved": 10807,
            "std_denied": 1009,
            "std_denial_rate": 8.54,
            "std_denial_rate_printed": 9,
            "std_appeals_total": 247,
            "std_appeals_overturned": 96,
            "std_appeal_overturn_rate": 38.87,
            "exp_total": 1992,
            "exp_approved": 1884,
            "exp_denied": 108,
            "exp_denial_rate": 5.42,
            "ext_review_approved": null,
            "std_tat_mean_days": 3,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 10.58,
            "exp_tat_median_hours": 2.1,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.healthpartners.com/content/dam/corporate/integrity-compliance/pa-reporting-cy2025-ma-medadv-msho-indwionexch.pdf",
            "source_segment": "w3_midwest",
            "extraction_note": "Expedited appeals were also reported separately (14 total, 8 overturned) but this schema has no exp_appeals fields, so only standard-appeal figures (247/96) are typed; expedited appeal counts noted here only. This PDF is the second of two HealthPartners CY2025 PA disclosures found on their site; a separate page (https://www.healthpartners.com/legal/prior-authorization-reporting/) covers Minnesota commercial/SEGIP/PEIP business only, which is out of this territory's scope (not Medicaid/CHIP/Medicaid FFS) and was not extracted here."
        },
        {
            "filing_id": "f0256",
            "parent_org": "HealthPartners",
            "plan_name": "HealthPartners Medicare Advantage and Minnesota Senior Health Options (MSHO), combined",
            "contract_id": null,
            "coverage_type": "Multiple (combined)",
            "state": "MN",
            "reporting_period": "CY2025 (January 1, 2025 - December 31, 2025)",
            "std_total": 11994,
            "std_approved": 11241,
            "std_denied": 753,
            "std_denial_rate": 6.28,
            "std_denial_rate_printed": 6,
            "std_appeals_total": 203,
            "std_appeals_overturned": 175,
            "std_appeal_overturn_rate": 86.21,
            "exp_total": 1151,
            "exp_approved": 1082,
            "exp_denied": 69,
            "exp_denial_rate": 5.99,
            "ext_review_approved": null,
            "std_tat_mean_days": 2,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 7.72,
            "exp_tat_median_hours": 0.09,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.healthpartners.com/content/dam/corporate/integrity-compliance/pa-reporting-cy2025-ma-medadv-msho-indwionexch.pdf",
            "source_segment": "w3_midwest",
            "extraction_note": "Document combines standard Medicare Advantage with Minnesota Senior Health Options (MSHO, a Medicare-Medicaid dual-eligible integrated plan) into one reporting line and cannot be split from what was extracted -- coverage_type set to 'Multiple (combined)' per brief guidance since MSHO would otherwise be 'Medicare-Medicaid Plan' and general MA is 'Medicare Advantage'. Expedited appeals reported separately (22 total, 15 overturned) but no exp_appeals field exists in this schema; noted here only."
        }
    ]
}