{
    "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": "f0282",
            "parent_org": "Johns Hopkins Medicine",
            "plan_name": "Johns Hopkins Advantage MD (HMO) - Contract H1225",
            "contract_id": "H1225",
            "coverage_type": "Medicare Advantage",
            "state": "MD",
            "reporting_period": "2025",
            "std_total": 13385,
            "std_approved": 11237,
            "std_denied": 2148,
            "std_denial_rate": 16.05,
            "std_denial_rate_printed": 16,
            "std_appeals_total": 242,
            "std_appeals_overturned": 185,
            "std_appeal_overturn_rate": 76.45,
            "exp_total": 872,
            "exp_approved": 381,
            "exp_denied": 491,
            "exp_denial_rate": 56.31,
            "ext_review_approved": null,
            "std_tat_mean_days": 4,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.hopkinsmedicare.com/wp-content/uploads/2025-pa-metrics_508.pdf",
            "source_segment": "w3_ma_regional",
            "extraction_note": "Standard turnaround printed in exact days (4 days mean / 1 day median). Expedited turnaround printed only as 'less than 2 days' for both mean and median with no exact figure, so left null rather than converted to hours. Approval/denial percentages printed by the payer next to each count."
        },
        {
            "filing_id": "f0284",
            "parent_org": "Johns Hopkins Medicine",
            "plan_name": "Johns Hopkins Advantage MD (VA HMO) - Contract H1339",
            "contract_id": "H1339",
            "coverage_type": "Medicare Advantage",
            "state": "VA",
            "reporting_period": "2025",
            "std_total": 13,
            "std_approved": 11,
            "std_denied": 2,
            "std_denial_rate": 15.38,
            "std_denial_rate_printed": 15.4,
            "std_appeals_total": 1,
            "std_appeals_overturned": 1,
            "std_appeal_overturn_rate": 100,
            "exp_total": 1,
            "exp_approved": 0,
            "exp_denied": 1,
            "exp_denial_rate": 100,
            "ext_review_approved": null,
            "std_tat_mean_days": 2,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.hopkinsmedicare.com/wp-content/uploads/2025-pa-metrics_508.pdf",
            "source_segment": "w3_ma_regional",
            "extraction_note": "Document column headers are 'Mean (Average) Time' / 'Median (Middle) Time'; standard turnaround printed in exact days (2 days / 1 day). Expedited turnaround is printed as an inequality ('less than 1 day') with no exact value for either mean or median, so exp_tat_mean_hours/exp_tat_median_hours are left null rather than converted or estimated. Contract explicitly labeled 'VA HMO' in the source table alongside H1225 (HMO) and H3890 (PPO); volumes are tiny (13 standard requests) so this is a low-volume sub-line, not the flagship Maryland book. Approval/denial percentages are printed by the payer next to each count."
        },
        {
            "filing_id": "f0283",
            "parent_org": "Johns Hopkins Medicine",
            "plan_name": "Johns Hopkins Advantage MD (PPO) - Contract H3890",
            "contract_id": "H3890",
            "coverage_type": "Medicare Advantage",
            "state": "MD",
            "reporting_period": "2025",
            "std_total": 12154,
            "std_approved": 10370,
            "std_denied": 1784,
            "std_denial_rate": 14.68,
            "std_denial_rate_printed": 14.7,
            "std_appeals_total": 192,
            "std_appeals_overturned": 180,
            "std_appeal_overturn_rate": 93.75,
            "exp_total": 677,
            "exp_approved": 282,
            "exp_denied": 395,
            "exp_denial_rate": 58.35,
            "ext_review_approved": null,
            "std_tat_mean_days": 3,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.hopkinsmedicare.com/wp-content/uploads/2025-pa-metrics_508.pdf",
            "source_segment": "w3_ma_regional",
            "extraction_note": "Standard turnaround printed in exact days (3 days mean / 1 day median). Expedited turnaround printed only as 'less than 2 days' for both mean and median with no exact figure, so left null rather than converted to hours. Approval/denial percentages printed by the payer next to each count. Single PDF covers all three Johns Hopkins Advantage MD contracts (H1339, H1225, H3890); found via /members/appeals-grievances/ page's 'Prior Authorization Transparency Reporting' section, not linked from the /members/interoperability/ page."
        }
    ]
}