{
    "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": "f0279",
            "parent_org": "Independent Health",
            "plan_name": "Independent Health Medicaid, Essential and CHP (combined)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 36266,
            "std_approved": 26040,
            "std_denied": 10226,
            "std_denial_rate": 28.2,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 191,
            "std_appeal_overturn_rate": null,
            "exp_total": 3683,
            "exp_approved": 3424,
            "exp_denied": 259,
            "exp_denial_rate": 7.03,
            "ext_review_approved": 269,
            "std_tat_mean_days": 2.28,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 2.52,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.independenthealth.com/content/dam/independenthealth/individuals-and-families/my-health/prior-authorization-metrics/documents/ih-medicaid-essential-chp-plans.pdf",
            "source_segment": "regional",
            "extraction_note": "Single filing covering three distinct lines of business reported in aggregate; cannot be split."
        },
        {
            "filing_id": "f0280",
            "parent_org": "Independent Health",
            "plan_name": "Independent Health Medicare H3344",
            "contract_id": "H3344",
            "coverage_type": "Medicare Advantage",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 6688,
            "std_approved": 5936,
            "std_denied": 752,
            "std_denial_rate": 11.24,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 46,
            "std_appeal_overturn_rate": null,
            "exp_total": 593,
            "exp_approved": 523,
            "exp_denied": 70,
            "exp_denial_rate": 11.8,
            "ext_review_approved": 0,
            "std_tat_mean_days": 2.34,
            "std_tat_median_days": 0.02,
            "exp_tat_mean_hours": 10.51,
            "exp_tat_median_hours": 0.98,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.independenthealth.com/content/dam/independenthealth/individuals-and-families/my-health/prior-authorization-metrics/documents/ih-medicare-h3344.pdf",
            "source_segment": "regional",
            "extraction_note": "Appeals reported only as 'approved after appeal' against the ALL-REQUESTS denominator, not appeals filed."
        },
        {
            "filing_id": "f0281",
            "parent_org": "Independent Health",
            "plan_name": "Independent Health Medicare H3362",
            "contract_id": "H3362",
            "coverage_type": "Medicare Advantage",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 117495,
            "std_approved": 106965,
            "std_denied": 10530,
            "std_denial_rate": 8.96,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 534,
            "std_appeal_overturn_rate": null,
            "exp_total": 10520,
            "exp_approved": 9622,
            "exp_denied": 898,
            "exp_denial_rate": 8.54,
            "ext_review_approved": 0,
            "std_tat_mean_days": 2.05,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 8.17,
            "exp_tat_median_hours": 0.21,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.independenthealth.com/content/dam/independenthealth/individuals-and-families/my-health/prior-authorization-metrics/documents/ih-medicare-h3362.pdf",
            "source_segment": "regional",
            "extraction_note": "Median standard TAT of 0.0002 days (~17 seconds) implies a large share of auto-approvals."
        }
    ]
}