{
    "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": "f0530",
            "parent_org": "Virginia DMAS",
            "plan_name": "Virginia Medicaid Fee-for-Service (Cardinal Care FFS)",
            "contract_id": null,
            "coverage_type": "Medicaid FFS",
            "state": "VA",
            "reporting_period": "CY2025",
            "std_total": 724465,
            "std_approved": 547433,
            "std_denied": 177032,
            "std_denial_rate": 24.44,
            "std_denial_rate_printed": null,
            "std_appeals_total": 11298,
            "std_appeals_overturned": 969,
            "std_appeal_overturn_rate": 8.58,
            "exp_total": 11501,
            "exp_approved": 8465,
            "exp_denied": 3036,
            "exp_denial_rate": 26.4,
            "ext_review_approved": 17194,
            "std_tat_mean_days": 5.2,
            "std_tat_median_days": null,
            "exp_tat_mean_hours": 75.8,
            "exp_tat_median_hours": null,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.dmas.virginia.gov/media/mgokjgph/ffs-cy2025-annual-prior-authorization-cms-report.pdf",
            "source_segment": "states",
            "extraction_note": "Medians reported per FFS contractor only, not aggregated. Expedited mean TAT of 75.8 hours exceeds the 72-hour standard."
        }
    ]
}