{
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        "page": 1,
        "per_page": 50,
        "pages": 1,
        "sort": "rate",
        "direction": "desc",
        "reporting_year": "CY2025",
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        "note": "Rates are computed from published counts. null means the payer published no value; it never means zero."
    },
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            "coverage_type": "Medicaid Managed Care",
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            "std_approved": 3333,
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            "std_denial_rate": 19.76,
            "std_denial_rate_printed": 19.76,
            "std_appeals_total": 27,
            "std_appeals_overturned": 2,
            "std_appeal_overturn_rate": 7.41,
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            "exp_denied": 5,
            "exp_denial_rate": 20,
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            "std_tat_median_days": 0.06,
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            "warn_count": 0,
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            "extraction_note": "Parsed from MetroPlus's published workbook (the CMS template as an xlsx). Percentages are stored as fractions in the sheet and converted. Both turnaround rows are in days; expedited converted to hours. The workbook the earlier crawl recorded as an unreadable binary gap -- now read.",
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        },
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            "parent_org": "MetroPlus Health Plan",
            "plan_name": "MetroPlus HARP",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 6277,
            "std_approved": 5083,
            "std_denied": 1194,
            "std_denial_rate": 19.02,
            "std_denial_rate_printed": 19.02,
            "std_appeals_total": 571,
            "std_appeals_overturned": 205,
            "std_appeal_overturn_rate": 35.9,
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            "exp_denied": 8,
            "exp_denial_rate": 22.22,
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            "exp_tat_mean_hours": 35.52,
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            "reports_counts": true,
            "quality_flags": "clean",
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            "warn_count": 0,
            "source_url": "https://metroplus.org/wp-content/uploads/2026/07/HARP_HA-851_20260622.xlsx",
            "source_segment": "w5_metroplus",
            "extraction_note": "Parsed from MetroPlus's published workbook (the CMS template as an xlsx). Percentages are stored as fractions in the sheet and converted. Both turnaround rows are in days; expedited converted to hours. The workbook the earlier crawl recorded as an unreadable binary gap -- now read.",
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            "entity_id": "mcd:NY:metroplus",
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        },
        {
            "filing_id": "f0386",
            "parent_org": "MetroPlus Health Plan",
            "plan_name": "MetroPlus Partnership in Care (HIV SNP)",
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            "coverage_type": "Medicaid Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 2151,
            "std_approved": 1814,
            "std_denied": 337,
            "std_denial_rate": 15.67,
            "std_denial_rate_printed": 15.67,
            "std_appeals_total": 97,
            "std_appeals_overturned": 32,
            "std_appeal_overturn_rate": 32.99,
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            "exp_approved": 14,
            "exp_denied": 0,
            "exp_denial_rate": 0,
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            "std_tat_median_days": 0.71,
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            "reports_counts": true,
            "quality_flags": "clean",
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            "warn_count": 0,
            "source_url": "https://metroplus.org/wp-content/uploads/2026/07/PICSNP_HA-851_20260622.xlsx",
            "source_segment": "w5_metroplus",
            "extraction_note": "Parsed from MetroPlus's published workbook (the CMS template as an xlsx). Percentages are stored as fractions in the sheet and converted. Both turnaround rows are in days; expedited converted to hours. The workbook the earlier crawl recorded as an unreadable binary gap -- now read.",
            "source_sha256": "c1bb9e5a627068ef4aa14d97adc0320498582b5af98b28c30f226923cb43fb22",
            "service_list_url": "https://metroplus.org/members/provider-authorization/",
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            "entity_id": "mcd:NY:metroplus",
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        },
        {
            "filing_id": "f0384",
            "parent_org": "MetroPlus Health Plan",
            "plan_name": "MetroPlus Medicaid Managed Care",
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            "coverage_type": "Medicaid Managed Care",
            "state": "NY",
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            "std_denial_rate_printed": 15.37,
            "std_appeals_total": 2703,
            "std_appeals_overturned": 849,
            "std_appeal_overturn_rate": 31.41,
            "exp_total": 427,
            "exp_approved": 368,
            "exp_denied": 59,
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            "ext_review_approved": 231,
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            "exp_tat_mean_hours": 33.36,
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            "reports_counts": true,
            "quality_flags": "clean",
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            "warn_count": 0,
            "source_url": "https://metroplus.org/wp-content/uploads/2026/07/MCAD_HA-851_20260622.xlsx",
            "source_segment": "w5_metroplus",
            "extraction_note": "Parsed from MetroPlus's published workbook (the CMS template as an xlsx). Percentages are stored as fractions in the sheet and converted. Both turnaround rows are in days; expedited converted to hours. The workbook the earlier crawl recorded as an unreadable binary gap -- now read.",
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            "service_list_url": "https://metroplus.org/members/provider-authorization/",
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        {
            "filing_id": "f0380",
            "parent_org": "MetroPlus Health Plan",
            "plan_name": "MetroPlus Child Health Plus",
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            "coverage_type": "CHIP Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 1861,
            "std_approved": 1604,
            "std_denied": 257,
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            "std_denial_rate_printed": 13.81,
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            "exp_tat_mean_hours": 34.32,
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            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://metroplus.org/wp-content/uploads/2026/07/CHP_HA-851_20260622.xlsx",
            "source_segment": "w5_metroplus",
            "extraction_note": "Parsed from MetroPlus's published workbook (the CMS template as an xlsx). Percentages are stored as fractions in the sheet and converted. Both turnaround rows are in days; expedited converted to hours. The workbook the earlier crawl recorded as an unreadable binary gap -- now read.",
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            "plan_name": "MetroPlus Medicare (H0423)",
            "contract_id": "H0423",
            "coverage_type": "Medicare Advantage",
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            "std_denial_rate_printed": 12.03,
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            "exp_total": 299,
            "exp_approved": 219,
            "exp_denied": 80,
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            "reports_counts": true,
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            "source_url": "https://metroplus.org/wp-content/uploads/2026/07/MEDICARE_HA-851_20260622.xlsx",
            "source_segment": "w5_metroplus",
            "extraction_note": "Parsed from MetroPlus's published workbook (the CMS template as an xlsx). Percentages are stored as fractions in the sheet and converted. Both turnaround rows are in days; expedited converted to hours. The workbook the earlier crawl recorded as an unreadable binary gap -- now read.",
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            "service_list_url": "https://metroplus.org/members/provider-authorization/",
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            "entity_id": "ma:H0423",
            "filing_unit": "ma_contract"
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        {
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            "parent_org": "MetroPlus Health Plan",
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            "state": "NY",
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            "std_denial_rate_printed": 6.39,
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            "exp_tat_mean_hours": 52.56,
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            "reports_counts": true,
            "quality_flags": "warn:expedited_slower_than_standard",
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            "warn_count": 1,
            "source_url": "https://metroplus.org/wp-content/uploads/2026/07/MAP_HA-851_20260622.xlsx",
            "source_segment": "w5_metroplus",
            "extraction_note": "Parsed from MetroPlus's published workbook (the CMS template as an xlsx). Percentages are stored as fractions in the sheet and converted. Both turnaround rows are in days; expedited converted to hours. The workbook the earlier crawl recorded as an unreadable binary gap -- now read.",
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}