{
    "meta": {
        "total": 110,
        "page": 1,
        "per_page": 50,
        "pages": 3,
        "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": "f0444",
            "parent_org": "UnitedHealth Group",
            "plan_name": "Texas MMP",
            "contract_id": null,
            "coverage_type": "Medicare-Medicaid Plan",
            "state": "TX",
            "reporting_period": "CY2025",
            "std_total": 240,
            "std_approved": 143,
            "std_denied": 97,
            "std_denial_rate": 40.42,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 0,
            "std_appeal_overturn_rate": null,
            "exp_total": 8,
            "exp_approved": 8,
            "exp_denied": 0,
            "exp_denial_rate": 0,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 0.5,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 7.2,
            "reports_counts": true,
            "quality_flags": "warn:high_denial_rate",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": "40.4% standard denial rate on a small base."
        },
        {
            "filing_id": "f0426",
            "parent_org": "UnitedHealth Group",
            "plan_name": "Massachusetts Senior Care Options",
            "contract_id": null,
            "coverage_type": "Medicare-Medicaid Plan",
            "state": "MA",
            "reporting_period": "CY2025",
            "std_total": 84,
            "std_approved": 56,
            "std_denied": 28,
            "std_denial_rate": 33.33,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 0,
            "std_appeal_overturn_rate": null,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": null,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 0.7,
            "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.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": "No expedited row present in source."
        },
        {
            "filing_id": "f0512",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract R7444",
            "contract_id": "R7444",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 18,
            "std_approved": 13,
            "std_denied": 5,
            "std_denial_rate": 27.78,
            "std_denial_rate_printed": 27.8,
            "std_appeals_total": null,
            "std_appeals_overturned": 0,
            "std_appeal_overturn_rate": null,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": null,
            "ext_review_approved": null,
            "std_tat_mean_days": 2,
            "std_tat_median_days": 2.4,
            "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.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published. No Expedited row is printed for this contract; all expedited fields null. Printed standard post-appeal percentage is 'NaN' in the source; recorded as null."
        },
        {
            "filing_id": "f0433",
            "parent_org": "UnitedHealth Group",
            "plan_name": "New York Child Health Plus",
            "contract_id": null,
            "coverage_type": "CHIP Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 1650,
            "std_approved": 1213,
            "std_denied": 437,
            "std_denial_rate": 26.48,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 1,
            "std_appeal_overturn_rate": null,
            "exp_total": 30,
            "exp_approved": 29,
            "exp_denied": 1,
            "exp_denial_rate": 3.33,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 1.3,
            "exp_tat_mean_hours": 96,
            "exp_tat_median_hours": 144,
            "reports_counts": true,
            "quality_flags": "warn:expedited_slower_than_standard",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": "Expedited mean 96h and median 144h both far exceed the 72-hour standard."
        },
        {
            "filing_id": "f0466",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H1537",
            "contract_id": "H1537",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 17926,
            "std_approved": 13416,
            "std_denied": 4510,
            "std_denial_rate": 25.16,
            "std_denial_rate_printed": 25.2,
            "std_appeals_total": null,
            "std_appeals_overturned": 179,
            "std_appeal_overturn_rate": 61.3,
            "exp_total": 469,
            "exp_approved": 429,
            "exp_denied": 40,
            "exp_denial_rate": 8.53,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.7,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 16.8,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0469",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H2001",
            "contract_id": "H2001",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 1854050,
            "std_approved": 1419305,
            "std_denied": 434745,
            "std_denial_rate": 23.45,
            "std_denial_rate_printed": 23.4,
            "std_appeals_total": null,
            "std_appeals_overturned": 17236,
            "std_appeal_overturn_rate": 56.9,
            "exp_total": 74909,
            "exp_approved": 66274,
            "exp_denied": 8635,
            "exp_denial_rate": 11.53,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.8,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 14.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0425",
            "parent_org": "UnitedHealth Group",
            "plan_name": "Massachusetts One Care",
            "contract_id": null,
            "coverage_type": "Medicare-Medicaid Plan",
            "state": "MA",
            "reporting_period": "CY2025",
            "std_total": 20248,
            "std_approved": 15708,
            "std_denied": 4540,
            "std_denial_rate": 22.42,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 1,
            "std_appeal_overturn_rate": null,
            "exp_total": 54,
            "exp_approved": 49,
            "exp_denied": 5,
            "exp_denial_rate": 9.26,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 0.6,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 146.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": "Expedited median of 146 hours far exceeds the 72-hour expedited standard."
        },
        {
            "filing_id": "f0435",
            "parent_org": "UnitedHealth Group",
            "plan_name": "New York Medicaid Advantage",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 76049,
            "std_approved": 59002,
            "std_denied": 17047,
            "std_denial_rate": 22.42,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 94,
            "std_appeal_overturn_rate": null,
            "exp_total": 1807,
            "exp_approved": 1619,
            "exp_denied": 188,
            "exp_denial_rate": 10.4,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.3,
            "exp_tat_mean_hours": 24,
            "exp_tat_median_hours": 127.2,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": "Expedited median 127 hours far exceeds the 72-hour standard."
        },
        {
            "filing_id": "f0459",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H0710",
            "contract_id": "H0710",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 3173,
            "std_approved": 2466,
            "std_denied": 707,
            "std_denial_rate": 22.28,
            "std_denial_rate_printed": 22.3,
            "std_appeals_total": null,
            "std_appeals_overturned": 17,
            "std_appeal_overturn_rate": 60.7,
            "exp_total": 111,
            "exp_approved": 106,
            "exp_denied": 5,
            "exp_denial_rate": 4.5,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 0.9,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 2.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0410",
            "parent_org": "UnitedHealth Group",
            "plan_name": "Arizona AHCCCS Complete Care",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "AZ",
            "reporting_period": "CY2025",
            "std_total": 94879,
            "std_approved": 73857,
            "std_denied": 21022,
            "std_denial_rate": 22.16,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 216,
            "std_appeal_overturn_rate": null,
            "exp_total": 11550,
            "exp_approved": 10307,
            "exp_denied": 1243,
            "exp_denial_rate": 10.76,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 2.4,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 19.2,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": "Totals computed as approved+not approved; expedited TAT converted days->hours."
        },
        {
            "filing_id": "f0510",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract R5342",
            "contract_id": "R5342",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 8366,
            "std_approved": 6519,
            "std_denied": 1847,
            "std_denial_rate": 22.08,
            "std_denial_rate_printed": 22.1,
            "std_appeals_total": null,
            "std_appeals_overturned": 80,
            "std_appeal_overturn_rate": 48.8,
            "exp_total": 335,
            "exp_approved": 279,
            "exp_denied": 56,
            "exp_denial_rate": 16.72,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.7,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0497",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H5435",
            "contract_id": "H5435",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 82,
            "std_approved": 64,
            "std_denied": 18,
            "std_denial_rate": 21.95,
            "std_denial_rate_printed": 22,
            "std_appeals_total": null,
            "std_appeals_overturned": 1,
            "std_appeal_overturn_rate": 33.3,
            "exp_total": 7,
            "exp_approved": 7,
            "exp_denied": 0,
            "exp_denial_rate": 0,
            "ext_review_approved": null,
            "std_tat_mean_days": 5,
            "std_tat_median_days": 5.5,
            "exp_tat_mean_hours": 48,
            "exp_tat_median_hours": 40.8,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0483",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H3307",
            "contract_id": "H3307",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 647,
            "std_approved": 507,
            "std_denied": 140,
            "std_denial_rate": 21.64,
            "std_denial_rate_printed": 21.6,
            "std_appeals_total": null,
            "std_appeals_overturned": 8,
            "std_appeal_overturn_rate": 57.1,
            "exp_total": 19,
            "exp_approved": 18,
            "exp_denied": 1,
            "exp_denial_rate": 5.26,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.9,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 2.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0484",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H3379",
            "contract_id": "H3379",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 67401,
            "std_approved": 52993,
            "std_denied": 14408,
            "std_denial_rate": 21.38,
            "std_denial_rate_printed": 21.4,
            "std_appeals_total": null,
            "std_appeals_overturned": 595,
            "std_appeal_overturn_rate": 54.5,
            "exp_total": 4168,
            "exp_approved": 3896,
            "exp_denied": 272,
            "exp_denial_rate": 6.53,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.9,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0507",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract R0759",
            "contract_id": "R0759",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 13563,
            "std_approved": 10691,
            "std_denied": 2872,
            "std_denial_rate": 21.18,
            "std_denial_rate_printed": 21.2,
            "std_appeals_total": null,
            "std_appeals_overturned": 158,
            "std_appeal_overturn_rate": 62,
            "exp_total": 1048,
            "exp_approved": 950,
            "exp_denied": 98,
            "exp_denial_rate": 9.35,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.8,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0486",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H3418",
            "contract_id": "H3418",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 34822,
            "std_approved": 27490,
            "std_denied": 7332,
            "std_denial_rate": 21.06,
            "std_denial_rate_printed": 21.1,
            "std_appeals_total": null,
            "std_appeals_overturned": 286,
            "std_appeal_overturn_rate": 56.4,
            "exp_total": 1540,
            "exp_approved": 1425,
            "exp_denied": 115,
            "exp_denial_rate": 7.47,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.6,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 9.6,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0460",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H0755",
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            "reporting_period": "CY2025",
            "std_total": 38238,
            "std_approved": 30240,
            "std_denied": 7998,
            "std_denial_rate": 20.92,
            "std_denial_rate_printed": 20.9,
            "std_appeals_total": null,
            "std_appeals_overturned": 297,
            "std_appeal_overturn_rate": 63.5,
            "exp_total": 2054,
            "exp_approved": 1914,
            "exp_denied": 140,
            "exp_denial_rate": 6.82,
            "ext_review_approved": null,
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            "std_tat_median_days": 1.7,
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            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
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            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0504",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H8211",
            "contract_id": "H8211",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 12822,
            "std_approved": 10145,
            "std_denied": 2677,
            "std_denial_rate": 20.88,
            "std_denial_rate_printed": 20.9,
            "std_appeals_total": null,
            "std_appeals_overturned": 118,
            "std_appeal_overturn_rate": 50.2,
            "exp_total": 243,
            "exp_approved": 215,
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            "ext_review_approved": null,
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            "std_tat_median_days": 1.9,
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            "exp_tat_median_hours": 19.2,
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            "quality_flags": "clean",
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            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0467",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H1659",
            "contract_id": "H1659",
            "coverage_type": "Medicare Advantage",
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            "reporting_period": "CY2025",
            "std_total": 810,
            "std_approved": 642,
            "std_denied": 168,
            "std_denial_rate": 20.74,
            "std_denial_rate_printed": 20.7,
            "std_appeals_total": null,
            "std_appeals_overturned": 3,
            "std_appeal_overturn_rate": 75,
            "exp_total": 56,
            "exp_approved": 53,
            "exp_denied": 3,
            "exp_denial_rate": 5.36,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.6,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 14.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0508",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract R2604",
            "contract_id": "R2604",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 11155,
            "std_approved": 8854,
            "std_denied": 2301,
            "std_denial_rate": 20.63,
            "std_denial_rate_printed": 20.6,
            "std_appeals_total": null,
            "std_appeals_overturned": 113,
            "std_appeal_overturn_rate": 54.9,
            "exp_total": 465,
            "exp_approved": 389,
            "exp_denied": 76,
            "exp_denial_rate": 16.34,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.8,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0480",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H2802",
            "contract_id": "H2802",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 203602,
            "std_approved": 161670,
            "std_denied": 41932,
            "std_denial_rate": 20.6,
            "std_denial_rate_printed": 20.6,
            "std_appeals_total": null,
            "std_appeals_overturned": 1622,
            "std_appeal_overturn_rate": 55.9,
            "exp_total": 6875,
            "exp_approved": 6022,
            "exp_denied": 853,
            "exp_denial_rate": 12.41,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.8,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 14.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0505",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H8768",
            "contract_id": "H8768",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 310977,
            "std_approved": 247019,
            "std_denied": 63958,
            "std_denial_rate": 20.57,
            "std_denial_rate_printed": 20.6,
            "std_appeals_total": null,
            "std_appeals_overturned": 2438,
            "std_appeal_overturn_rate": 55.8,
            "exp_total": 13391,
            "exp_approved": 12306,
            "exp_denied": 1085,
            "exp_denial_rate": 8.1,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.7,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0452",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H0294",
            "contract_id": "H0294",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 90700,
            "std_approved": 72715,
            "std_denied": 17985,
            "std_denial_rate": 19.83,
            "std_denial_rate_printed": 19.8,
            "std_appeals_total": null,
            "std_appeals_overturned": 745,
            "std_appeal_overturn_rate": 49.1,
            "exp_total": 5671,
            "exp_approved": 4835,
            "exp_denied": 836,
            "exp_denial_rate": 14.74,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.9,
            "exp_tat_mean_hours": 0,
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            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0440",
            "parent_org": "UnitedHealth Group",
            "plan_name": "Pennsylvania Medicaid",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "PA",
            "reporting_period": "CY2025",
            "std_total": 27830,
            "std_approved": 22332,
            "std_denied": 5498,
            "std_denial_rate": 19.76,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 51,
            "std_appeal_overturn_rate": null,
            "exp_total": 1025,
            "exp_approved": 936,
            "exp_denied": 89,
            "exp_denial_rate": 8.68,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 1.2,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 7.2,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": null
        },
        {
            "filing_id": "f0494",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H5253",
            "contract_id": "H5253",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 643001,
            "std_approved": 521259,
            "std_denied": 121742,
            "std_denial_rate": 18.93,
            "std_denial_rate_printed": 18.9,
            "std_appeals_total": null,
            "std_appeals_overturned": 4686,
            "std_appeal_overturn_rate": 55.9,
            "exp_total": 22290,
            "exp_approved": 19836,
            "exp_denied": 2454,
            "exp_denial_rate": 11.01,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
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            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0509",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract R3444",
            "contract_id": "R3444",
            "coverage_type": "Medicare Advantage",
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            "reporting_period": "CY2025",
            "std_total": 3155,
            "std_approved": 2567,
            "std_denied": 588,
            "std_denial_rate": 18.64,
            "std_denial_rate_printed": 18.6,
            "std_appeals_total": null,
            "std_appeals_overturned": 14,
            "std_appeal_overturn_rate": 63.6,
            "exp_total": 114,
            "exp_approved": 106,
            "exp_denied": 8,
            "exp_denial_rate": 7.02,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 1.4,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 7.2,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0462",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H1045",
            "contract_id": "H1045",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 182207,
            "std_approved": 149689,
            "std_denied": 32518,
            "std_denial_rate": 17.85,
            "std_denial_rate_printed": 17.8,
            "std_appeals_total": null,
            "std_appeals_overturned": 2183,
            "std_appeal_overturn_rate": 47.5,
            "exp_total": 17168,
            "exp_approved": 14911,
            "exp_denied": 2257,
            "exp_denial_rate": 13.15,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 2.3,
            "exp_tat_mean_hours": 0,
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            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0475",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H2406",
            "contract_id": "H2406",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 416396,
            "std_approved": 344462,
            "std_denied": 71934,
            "std_denial_rate": 17.28,
            "std_denial_rate_printed": 17.3,
            "std_appeals_total": null,
            "std_appeals_overturned": 3735,
            "std_appeal_overturn_rate": 62.1,
            "exp_total": 32936,
            "exp_approved": 30982,
            "exp_denied": 1954,
            "exp_denial_rate": 5.93,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.8,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 9.6,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0468",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H1889",
            "contract_id": "H1889",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 178418,
            "std_approved": 147885,
            "std_denied": 30533,
            "std_denial_rate": 17.11,
            "std_denial_rate_printed": 17.1,
            "std_appeals_total": null,
            "std_appeals_overturned": 2338,
            "std_appeal_overturn_rate": 56.8,
            "exp_total": 11081,
            "exp_approved": 8766,
            "exp_denied": 2315,
            "exp_denial_rate": 20.89,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 2.1,
            "exp_tat_mean_hours": 0,
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            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0434",
            "parent_org": "UnitedHealth Group",
            "plan_name": "New York Essential Plan Program",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "NY",
            "reporting_period": "CY2025",
            "std_total": 18664,
            "std_approved": 15550,
            "std_denied": 3114,
            "std_denial_rate": 16.68,
            "std_denial_rate_printed": null,
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            "std_appeals_overturned": 39,
            "std_appeal_overturn_rate": null,
            "exp_total": 196,
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            "exp_denial_rate": 21.94,
            "ext_review_approved": null,
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            "std_tat_median_days": 1.3,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 110.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": "Basic Health Program mapped to Medicaid Managed Care. Expedited median 110h exceeds the 72-hour standard."
        },
        {
            "filing_id": "f0445",
            "parent_org": "UnitedHealth Group",
            "plan_name": "Texas STAR",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "TX",
            "reporting_period": "CY2025",
            "std_total": 138578,
            "std_approved": 116384,
            "std_denied": 22194,
            "std_denial_rate": 16.02,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 64,
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            "exp_total": 13824,
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            "exp_denied": 696,
            "exp_denial_rate": 5.03,
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            "std_tat_mean_days": 1,
            "std_tat_median_days": 1.4,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 14.4,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicaid-2025.pdf",
            "source_segment": "wave2",
            "extraction_note": null
        },
        {
            "filing_id": "f0424",
            "parent_org": "UnitedHealth Group",
            "plan_name": "Maryland HealthChoice",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "MD",
            "reporting_period": "CY2025",
            "std_total": 43808,
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            "reporting_period": "CY2025",
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            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
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            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
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            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
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            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
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            "source_segment": "uhc_ma",
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            "extraction_note": null
        },
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            "extraction_note": null
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            "source_segment": "national",
            "extraction_note": "PARTIAL: only the standard row captured. Source PDF holds 60+ UHC MA contracts."
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            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
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            "std_denial_rate": 12.92,
            "std_denial_rate_printed": 12.9,
            "std_appeals_total": null,
            "std_appeals_overturned": 409,
            "std_appeal_overturn_rate": 43.5,
            "exp_total": 1829,
            "exp_approved": 1508,
            "exp_denied": 321,
            "exp_denial_rate": 17.55,
            "ext_review_approved": null,
            "std_tat_mean_days": 1,
            "std_tat_median_days": 2.8,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0482",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H3256",
            "contract_id": "H3256",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 18400,
            "std_approved": 16090,
            "std_denied": 2310,
            "std_denial_rate": 12.55,
            "std_denial_rate_printed": 12.6,
            "std_appeals_total": null,
            "std_appeals_overturned": 264,
            "std_appeal_overturn_rate": 71.4,
            "exp_total": 560,
            "exp_approved": 437,
            "exp_denied": 123,
            "exp_denial_rate": 21.96,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 1.3,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        },
        {
            "filing_id": "f0487",
            "parent_org": "UnitedHealth Group",
            "plan_name": "UnitedHealthcare Medicare Advantage - Contract H3794",
            "contract_id": "H3794",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": "CY2025",
            "std_total": 15127,
            "std_approved": 13328,
            "std_denied": 1799,
            "std_denial_rate": 11.89,
            "std_denial_rate_printed": 11.9,
            "std_appeals_total": null,
            "std_appeals_overturned": 127,
            "std_appeal_overturn_rate": 50.6,
            "exp_total": 755,
            "exp_approved": 416,
            "exp_denied": 339,
            "exp_denial_rate": 44.9,
            "ext_review_approved": null,
            "std_tat_mean_days": 0,
            "std_tat_median_days": 1.2,
            "exp_tat_mean_hours": 0,
            "exp_tat_median_hours": 19.2,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf",
            "source_segment": "uhc_ma",
            "extraction_note": "Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published."
        }
    ]
}