{
    "meta": {
        "total": 4,
        "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": "f0275",
            "parent_org": "Humana / iCare",
            "plan_name": "iCare BadgerCare Plus",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "WI",
            "reporting_period": "CY2025",
            "std_total": 8424,
            "std_approved": 7159,
            "std_denied": 1265,
            "std_denial_rate": 15.02,
            "std_denial_rate_printed": null,
            "std_appeals_total": 33,
            "std_appeals_overturned": 7,
            "std_appeal_overturn_rate": 21.21,
            "exp_total": 266,
            "exp_approved": 187,
            "exp_denied": 79,
            "exp_denial_rate": 29.7,
            "ext_review_approved": 87,
            "std_tat_mean_days": 4,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 17,
            "exp_tat_median_hours": 9,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.humana.com/is/content/humana/iCare_BadgerCarePlus_Prior_Auth_Metrics_PlanYear2025pdf",
            "source_segment": "wave2",
            "extraction_note": "Appeals reported as a single combined standard+expedited figure."
        },
        {
            "filing_id": "f0277",
            "parent_org": "Humana / iCare",
            "plan_name": "iCare Medicaid SSI",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "WI",
            "reporting_period": "CY2025",
            "std_total": 6385,
            "std_approved": 5537,
            "std_denied": 848,
            "std_denial_rate": 13.28,
            "std_denial_rate_printed": null,
            "std_appeals_total": 41,
            "std_appeals_overturned": 8,
            "std_appeal_overturn_rate": 19.51,
            "exp_total": 231,
            "exp_approved": 188,
            "exp_denied": 43,
            "exp_denial_rate": 18.61,
            "ext_review_approved": 388,
            "std_tat_mean_days": 6,
            "std_tat_median_days": 5,
            "exp_tat_mean_hours": 22,
            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.humana.com/is/content/humana/iCare_SSIMedicaid_Prior_Auth_Metrics_PlanYear2025pdf",
            "source_segment": "wave2",
            "extraction_note": "Appeals reported combined, not split."
        },
        {
            "filing_id": "f0276",
            "parent_org": "Humana / iCare",
            "plan_name": "iCare Family Care Partnership",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "WI",
            "reporting_period": "CY2025",
            "std_total": 2717,
            "std_approved": 2409,
            "std_denied": 308,
            "std_denial_rate": 11.34,
            "std_denial_rate_printed": null,
            "std_appeals_total": 5,
            "std_appeals_overturned": 2,
            "std_appeal_overturn_rate": 40,
            "exp_total": 217,
            "exp_approved": 192,
            "exp_denied": 25,
            "exp_denial_rate": 11.52,
            "ext_review_approved": 40,
            "std_tat_mean_days": 4,
            "std_tat_median_days": 3,
            "exp_tat_mean_hours": 14,
            "exp_tat_median_hours": 3,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.humana.com/is/content/humana/iCare_FamilyCarePartnership_Prior_Auth_Metrics_PlanYear2025pdf",
            "source_segment": "wave2",
            "extraction_note": "Integrated LTSS product published under the Medicaid section."
        },
        {
            "filing_id": "f0278",
            "parent_org": "Humana / iCare",
            "plan_name": "iCare Medicare Plan",
            "contract_id": "H2237",
            "coverage_type": "Medicare Advantage",
            "state": "WI",
            "reporting_period": "CY2025",
            "std_total": 4424,
            "std_approved": 3997,
            "std_denied": 427,
            "std_denial_rate": 9.65,
            "std_denial_rate_printed": null,
            "std_appeals_total": 12,
            "std_appeals_overturned": 4,
            "std_appeal_overturn_rate": 33.33,
            "exp_total": 32,
            "exp_approved": 24,
            "exp_denied": 8,
            "exp_denial_rate": 25,
            "ext_review_approved": 90,
            "std_tat_mean_days": 5,
            "std_tat_median_days": 5,
            "exp_tat_mean_hours": 7,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://assets.humana.com/is/content/humana/iCare_H2237_Prior_Auth_Metrics_PlanYear2025pdf",
            "source_segment": "wave2",
            "extraction_note": "The only Humana-affiliated filing located in the entire project."
        }
    ]
}