{
    "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": "f0142",
            "parent_org": "Centene",
            "plan_name": "Ambetter of Alabama",
            "contract_id": null,
            "coverage_type": "Marketplace QHP",
            "state": "AL",
            "reporting_period": "CY2025",
            "std_total": 38711,
            "std_approved": 27669,
            "std_denied": 11042,
            "std_denial_rate": 28.52,
            "std_denial_rate_printed": 28.52,
            "std_appeals_total": 903,
            "std_appeals_overturned": 264,
            "std_appeal_overturn_rate": 29.24,
            "exp_total": 1252,
            "exp_approved": 964,
            "exp_denied": 288,
            "exp_denial_rate": 23,
            "ext_review_approved": null,
            "std_tat_mean_days": 2,
            "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.ambetterhealth.com/content/dam/centene/ambetterofalabama/pdfs/AL_MKT_ABofAL_53932_MetricsSummary_R.pdf",
            "source_segment": "w3_qhp",
            "extraction_note": "Issuer ID 53932. Expedited appeals: 60 total, 29 overturned (48.33%). Expedited TAT printed in days (mean 1, median 1); converted to hours (24h/24h) - native unit was days.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:AL:53932",
            "filing_unit": "qhp_issuer"
        }
    ]
}