{
    "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": "f0533",
            "parent_org": "Wisconsin Department of Health Services",
            "plan_name": "Wisconsin Medicaid (ForwardHealth) -- specific program/agency not named in document",
            "contract_id": null,
            "coverage_type": "Medicaid FFS",
            "state": "WI",
            "reporting_period": "Reporting Year 2025",
            "std_total": 165012,
            "std_approved": 148796,
            "std_denied": 6556,
            "std_denial_rate": 3.97,
            "std_denial_rate_printed": 4,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": null,
            "exp_total": 10,
            "exp_approved": 9,
            "exp_denied": 0,
            "exp_denial_rate": 0,
            "ext_review_approved": null,
            "std_tat_mean_days": 3.1,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 151.2,
            "exp_tat_median_hours": 67.2,
            "reports_counts": true,
            "quality_flags": "error:std_counts_reconcile; info:appeals_not_reported; warn:expedited_slower_than_standard",
            "error_count": 1,
            "warn_count": 1,
            "source_url": "https://www.dhs.wisconsin.gov/medicaid/pa-report-2025.pdf",
            "source_segment": "w3_midwest",
            "extraction_note": "Document title is only 'Prior Authorization Metrics Reporting Year 2025' -- it names no specific plan, MCO, or program (no BadgerCare Plus / ForwardHealth / managed-care label appears). Hosted on the WI DHS Medicaid pages alongside ForwardHealth FFS pharmacy/PA administrative-code material, so classified here as Medicaid FFS, but this could instead be a statewide combined FFS+MCO carve-in PA determination log -- flag for verification by someone who can see the full PDF. Document also reports a separate 'Partially Denied' bucket not in this schema: standard 9,660 (5.9%%), expedited 1 -- omitted from typed fields, noted here. Standard TAT is explicitly labeled in days (3.1 mean / 1.0 median). Expedited TAT is ALSO explicitly labeled in days (6.3 mean / 2.8 median) rather than hours; converted per brief instructions (days->hours: 6.3*24=151.2, 2.8*24=67.2) and flagged as a conversion. Note the apparent anomaly that expedited turnaround (151.2h / 67.2h) is far slower than standard (3.1 days = 74.4h / 1.0 day = 24h) -- printed as-is; worth scrutiny downstream. No appeals data reported."
        }
    ]
}