{
    "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": "peakhealth-2025",
            "parent_org": "Peak Health",
            "plan_name": "Peak Health",
            "contract_id": null,
            "coverage_type": "Medicare Advantage",
            "state": "WV",
            "reporting_period": "CY2025",
            "std_total": 937,
            "std_approved": 927,
            "std_denied": 10,
            "std_denial_rate": 1.07,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": null,
            "exp_total": 4664,
            "exp_approved": 4584,
            "exp_denied": 80,
            "exp_denial_rate": 1.72,
            "ext_review_approved": 0,
            "std_tat_mean_days": 5,
            "std_tat_median_days": 4,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "info:appeals_not_reported; warn:expedited_exceeds_standard_volume",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://medicare.peakhealth.org/wp-content/uploads/2026/03/Peak-Health-2025-CMS-Prior-Auth-Metrics-2026.pdf",
            "source_segment": "filings_2025",
            "extraction_note": "Standard/expedited columns appear transposed in the source document; expedited volume exceeds standard by 5x."
        }
    ]
}