{
    "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": "f0274",
            "parent_org": "Humana",
            "plan_name": "Humana Healthy Horizons in Ohio",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "OH",
            "reporting_period": "CY2025",
            "std_total": 61149,
            "std_approved": 51909,
            "std_denied": 9240,
            "std_denial_rate": 15.11,
            "std_denial_rate_printed": null,
            "std_appeals_total": 533,
            "std_appeals_overturned": 92,
            "std_appeal_overturn_rate": 17.26,
            "exp_total": 3290,
            "exp_approved": 2686,
            "exp_denied": 604,
            "exp_denial_rate": 18.36,
            "ext_review_approved": 0,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/Providers/Billing/PriorAuthorization/Managed_Care-FinalPDF.pdf",
            "source_segment": "states",
            "extraction_note": "Expedited TAT published as 0 days; ODM day-level rounding means 0 is not instantaneous."
        }
    ]
}