{
    "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": "f0335",
            "parent_org": "Indiana Family and Social Services Administration",
            "plan_name": "Indiana Health Coverage Programs (fee-for-service)",
            "contract_id": null,
            "coverage_type": "Medicaid FFS",
            "state": "IN",
            "reporting_period": "01/01/2025 through 12/31/2025",
            "std_total": 204568,
            "std_approved": 179701,
            "std_denied": 10442,
            "std_denial_rate": 5.1,
            "std_denial_rate_printed": 5.1,
            "std_appeals_total": 583,
            "std_appeals_overturned": 162,
            "std_appeal_overturn_rate": 27.79,
            "exp_total": 2174,
            "exp_approved": 1844,
            "exp_denied": 66,
            "exp_denial_rate": 3.04,
            "ext_review_approved": 40268,
            "std_tat_mean_days": 2.11,
            "std_tat_median_days": 2,
            "exp_tat_mean_hours": 19.19,
            "exp_tat_median_hours": 9,
            "reports_counts": true,
            "quality_flags": "error:std_counts_reconcile; error:exp_counts_reconcile",
            "error_count": 2,
            "warn_count": 0,
            "source_url": "https://www.in.gov/medicaid/providers/files/Acentra-Health-Prior-Authorization-Metrics-Report-2025.xlsx",
            "source_segment": "w5_states",
            "extraction_note": "Transcribed from the Total row of the CMS_INTEROP_2025 sheet. Indiana counts service LINES, not requests, and reports a third outcome -- partial approval (14,426 standard, 264 expedited) -- which is neither an approval nor a denial here and is excluded from both, so approved + denied falls short of the printed total. Appeals are fair hearings decided by an ALJ, a narrower definition than most payers use.",
            "source_sha256": "238ca0279a55d798533333ef778189e41a701f47baeb1c2d315581bdcf754038",
            "service_list_url": "https://www.in.gov/medicaid/providers/clinical-services/prior-authorization/prior-authorization-metrics-reporting/",
            "service_list_items": 31,
            "entity_id": "ffs:IN",
            "filing_unit": "ffs_state"
        }
    ]
}