{
    "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": "f0651",
            "parent_org": "Wellcare By ‘Ohana Health Plan",
            "plan_name": "Wellcare By ‘Ohana Health Plan",
            "contract_id": "H2491",
            "coverage_type": "Medicare Advantage",
            "state": null,
            "reporting_period": null,
            "std_total": 27851,
            "std_approved": 24091,
            "std_denied": 3760,
            "std_denial_rate": 13.5,
            "std_denial_rate_printed": 13.5,
            "std_appeals_total": 313,
            "std_appeals_overturned": 302,
            "std_appeal_overturn_rate": 96.49,
            "exp_total": 4574,
            "exp_approved": 4090,
            "exp_denied": 484,
            "exp_denial_rate": 10.58,
            "ext_review_approved": 0,
            "std_tat_mean_days": 4,
            "std_tat_median_days": 1,
            "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://www.wellcare.com/-/media/pdfs/na/provider/cms-final-rule-py2025/hi_wellcarebyohana_h2491_medicare_metricssummary_r.ashx",
            "source_segment": "w5_cms_template",
            "extraction_note": "parsed from the CMS reporting template by pipeline.preauth.extract (cms)",
            "source_sha256": "920c4d4a1a42e14495dccd166e9b5ecd7eefba2774460658c36b1537ac647ed9",
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "ma:H2491",
            "filing_unit": "ma_contract"
        }
    ]
}