{
    "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": "f0390",
            "parent_org": "Sendero Health Plans",
            "plan_name": "Sendero Health Plans (IdealCare marketplace)",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "TX",
            "reporting_period": "CY2025",
            "std_total": null,
            "std_approved": 8659,
            "std_denied": 188,
            "std_denial_rate": 2.17,
            "std_denial_rate_printed": 2.17,
            "std_appeals_total": 28,
            "std_appeals_overturned": 14,
            "std_appeal_overturn_rate": 50,
            "exp_total": null,
            "exp_approved": 1304,
            "exp_denied": 16,
            "exp_denial_rate": 1.23,
            "ext_review_approved": null,
            "std_tat_mean_days": 2.4,
            "std_tat_median_days": 1.46,
            "exp_tat_mean_hours": 18.8,
            "exp_tat_median_hours": 16,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://senderohealth.com/files/2025%20PA%20Stats%20and%20Summary%20-%20APPROVALS%20-%20DENIALS%20-%20APPEALS.pdf",
            "source_segment": "marketplace",
            "extraction_note": "Month-by-month table with no total-requests denominator, so totals are null. Narrative text conflates the approvals column total with requests received. Standard TAT printed in HOURS and converted to days."
        }
    ]
}