{
    "meta": {
        "total": 9,
        "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": "f0403",
            "parent_org": "UCare",
            "plan_name": "Prepaid Medical Assistance Program (PMAP)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 30736,
            "std_approved": 16043,
            "std_denied": 14693,
            "std_denial_rate": 47.8,
            "std_denial_rate_printed": null,
            "std_appeals_total": 850,
            "std_appeals_overturned": 113,
            "std_appeal_overturn_rate": 13.29,
            "exp_total": 469,
            "exp_approved": 356,
            "exp_denied": 113,
            "exp_denial_rate": 24.09,
            "ext_review_approved": 0,
            "std_tat_mean_days": 6,
            "std_tat_median_days": 8,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "warn:high_denial_rate",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/U15479_PAMetricsReport__PMAP_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "Mean standard TAT (6 days) is below the median (8 days)."
        },
        {
            "filing_id": "f0405",
            "parent_org": "UCare",
            "plan_name": "UCare Connect + Medicare",
            "contract_id": "H5937",
            "coverage_type": "Medicare Advantage",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 3685,
            "std_approved": 1969,
            "std_denied": 1716,
            "std_denial_rate": 46.57,
            "std_denial_rate_printed": null,
            "std_appeals_total": 107,
            "std_appeals_overturned": 32,
            "std_appeal_overturn_rate": 29.91,
            "exp_total": 241,
            "exp_approved": 201,
            "exp_denied": 40,
            "exp_denial_rate": 16.6,
            "ext_review_approved": 0,
            "std_tat_mean_days": 6,
            "std_tat_median_days": 7,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "warn:high_denial_rate",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/U15479_PAMetricsReport__ConnectPlus_H5937_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "Integrated Medicare-Medicaid special needs product under an MA contract."
        },
        {
            "filing_id": "f0404",
            "parent_org": "UCare",
            "plan_name": "UCare Connect",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 6578,
            "std_approved": 3606,
            "std_denied": 2972,
            "std_denial_rate": 45.18,
            "std_denial_rate_printed": null,
            "std_appeals_total": 142,
            "std_appeals_overturned": 47,
            "std_appeal_overturn_rate": 33.1,
            "exp_total": 200,
            "exp_approved": 135,
            "exp_denied": 65,
            "exp_denial_rate": 32.5,
            "ext_review_approved": 0,
            "std_tat_mean_days": 7,
            "std_tat_median_days": 8,
            "exp_tat_mean_hours": 48,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "warn:high_denial_rate",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/U15479_PAMetricsReport__Connect_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "Special Needs BasicCare (Medicaid-only) product."
        },
        {
            "filing_id": "f0402",
            "parent_org": "UCare",
            "plan_name": "MinnesotaCare (MnCare)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 6208,
            "std_approved": 3406,
            "std_denied": 2802,
            "std_denial_rate": 45.14,
            "std_denial_rate_printed": null,
            "std_appeals_total": 66,
            "std_appeals_overturned": 8,
            "std_appeal_overturn_rate": 12.12,
            "exp_total": 70,
            "exp_approved": 54,
            "exp_denied": 16,
            "exp_denial_rate": 22.86,
            "ext_review_approved": 0,
            "std_tat_mean_days": 8,
            "std_tat_median_days": 8,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "warn:high_denial_rate",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/U15479_PAMetricsReport__MnCare_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "MinnesotaCare is a Basic Health Program; no exact enum exists, recorded as Medicaid Managed Care."
        },
        {
            "filing_id": "f0407",
            "parent_org": "UCare",
            "plan_name": "UCare Minnesota Senior Health Options (MSHO)",
            "contract_id": "H2456",
            "coverage_type": "Medicare Advantage",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 4469,
            "std_approved": 2506,
            "std_denied": 1963,
            "std_denial_rate": 43.92,
            "std_denial_rate_printed": null,
            "std_appeals_total": 102,
            "std_appeals_overturned": 26,
            "std_appeal_overturn_rate": 25.49,
            "exp_total": 612,
            "exp_approved": 563,
            "exp_denied": 49,
            "exp_denial_rate": 8.01,
            "ext_review_approved": 0,
            "std_tat_mean_days": 6,
            "std_tat_median_days": 7,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "warn:high_denial_rate",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/U15479_PAMetricsReport__MSHO_H2456_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "Integrated Medicare-Medicaid product operating under an MA contract."
        },
        {
            "filing_id": "f0401",
            "parent_org": "UCare",
            "plan_name": "Minnesota Senior Care Plus (MSC+)",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 1101,
            "std_approved": 640,
            "std_denied": 461,
            "std_denial_rate": 41.87,
            "std_denial_rate_printed": null,
            "std_appeals_total": 15,
            "std_appeals_overturned": 4,
            "std_appeal_overturn_rate": 26.67,
            "exp_total": 28,
            "exp_approved": 17,
            "exp_denied": 11,
            "exp_denial_rate": 39.29,
            "ext_review_approved": 0,
            "std_tat_mean_days": 8,
            "std_tat_median_days": 8,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "warn:high_denial_rate",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/U15479_PAMetricsReport__MSCPlus_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "Expedited TAT published in days, x24."
        },
        {
            "filing_id": "f0400",
            "parent_org": "UCare",
            "plan_name": "EssentiaCare Plans",
            "contract_id": "H8783",
            "coverage_type": "Medicare Advantage",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 382,
            "std_approved": 248,
            "std_denied": 134,
            "std_denial_rate": 35.08,
            "std_denial_rate_printed": null,
            "std_appeals_total": 8,
            "std_appeals_overturned": 6,
            "std_appeal_overturn_rate": 75,
            "exp_total": 38,
            "exp_approved": 36,
            "exp_denied": 2,
            "exp_denial_rate": 5.26,
            "ext_review_approved": 0,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/U15479_PAMetricsReport_EssentiaCare_H8783_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "State not printed; MN assigned from the publisher."
        },
        {
            "filing_id": "f0406",
            "parent_org": "UCare",
            "plan_name": "UCare Medicare Plans",
            "contract_id": "H2459",
            "coverage_type": "Medicare Advantage",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 18305,
            "std_approved": 13013,
            "std_denied": 5292,
            "std_denial_rate": 28.91,
            "std_denial_rate_printed": null,
            "std_appeals_total": 208,
            "std_appeals_overturned": 109,
            "std_appeal_overturn_rate": 52.4,
            "exp_total": 2011,
            "exp_approved": 1911,
            "exp_denied": 100,
            "exp_denial_rate": 4.97,
            "ext_review_approved": 0,
            "std_tat_mean_days": 2,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/74U15479_PAMetricsReport__Medicare_H2459_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "State not printed; MN assigned from publisher."
        },
        {
            "filing_id": "f0408",
            "parent_org": "UCare",
            "plan_name": "UCare Your Choice Plans",
            "contract_id": "H8070",
            "coverage_type": "Medicare Advantage",
            "state": "MN",
            "reporting_period": "CY2025",
            "std_total": 3837,
            "std_approved": 2959,
            "std_denied": 878,
            "std_denial_rate": 22.88,
            "std_denial_rate_printed": null,
            "std_appeals_total": 166,
            "std_appeals_overturned": 95,
            "std_appeal_overturn_rate": 57.23,
            "exp_total": 816,
            "exp_approved": 750,
            "exp_denied": 66,
            "exp_denial_rate": 8.09,
            "ext_review_approved": 0,
            "std_tat_mean_days": 5,
            "std_tat_median_days": 2,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 24,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://ucm-p-001.sitecorecontenthub.cloud/api/public/content/U15479_PAMetricsReport__YourChoice_H8070_2026.pdf",
            "source_segment": "sweep",
            "extraction_note": "State not printed; MN assigned from publisher."
        }
    ]
}