{
    "meta": {
        "total": 2,
        "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": "f0532",
            "parent_org": "Wellmark Blue Cross and Blue Shield",
            "plan_name": "Wellmark Blue Cross and Blue Shield of South Dakota (FFE plans)",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "SD",
            "reporting_period": "CY2025",
            "std_total": 2741,
            "std_approved": 2408,
            "std_denied": 333,
            "std_denial_rate": 12.15,
            "std_denial_rate_printed": 12.2,
            "std_appeals_total": 27,
            "std_appeals_overturned": 8,
            "std_appeal_overturn_rate": 29.63,
            "exp_total": 498,
            "exp_approved": 469,
            "exp_denied": 29,
            "exp_denial_rate": 5.82,
            "ext_review_approved": 0,
            "std_tat_mean_days": 2.19,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 9.84,
            "exp_tat_median_hours": 1.92,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://digital-assets.wellmark.com/adobe/assets/urn:aaid:aem:8cd27035-5608-42e2-a851-c5fe2cf98538/original/as/prior-authorization-metrics-south-dakota.pdf",
            "source_segment": "blues",
            "extraction_note": "Scope limited to FFE plans only. Expedited TAT published in DAYS and converted to hours (mean 0.41 d = 9.84 h; median 0.08 d = 1.92 h). Printed standard percentages sum to 100.1 (rounding). Median standard TAT is 0 days per the same real-time-approval footnote as the Iowa filing. Extended review reported as 0 approved (0%); denied count not printed."
        },
        {
            "filing_id": "f0531",
            "parent_org": "Wellmark Blue Cross and Blue Shield",
            "plan_name": "Wellmark Blue Cross and Blue Shield of Iowa (FFE plans)",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "IA",
            "reporting_period": "CY2025",
            "std_total": 25301,
            "std_approved": 22505,
            "std_denied": 2796,
            "std_denial_rate": 11.05,
            "std_denial_rate_printed": 11.1,
            "std_appeals_total": 199,
            "std_appeals_overturned": 78,
            "std_appeal_overturn_rate": 39.2,
            "exp_total": 5599,
            "exp_approved": 5316,
            "exp_denied": 283,
            "exp_denial_rate": 5.05,
            "ext_review_approved": 0,
            "std_tat_mean_days": 1.87,
            "std_tat_median_days": 0,
            "exp_tat_mean_hours": 20.88,
            "exp_tat_median_hours": 21.12,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://digital-assets.wellmark.com/adobe/assets/urn:aaid:aem:30eb26f4-5bfc-49b3-bd1b-7d4ef5245ecd/original/as/prior-authorization-metrics-iowa.pdf",
            "source_segment": "blues",
            "extraction_note": "Scope limited to federally facilitated exchange (FFE) plans only. Expedited TAT published in DAYS and converted to hours (mean 0.87 d = 20.88 h; median 0.88 d = 21.12 h). Printed approved/denied percentages sum to 100.1 (rounding). Median standard TAT is 0 days; the document explains more than half of standard requests were approved in real time. Extended review reported as 0 approved (0%); denied count not printed."
        }
    ]
}