{
    "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": "f0462",
            "parent_org": "Sanford Health",
            "plan_name": "Sanford Health Plan QHP - South Dakota",
            "contract_id": "SD-31195",
            "coverage_type": "Marketplace QHP",
            "state": "SD",
            "reporting_period": "CY2025",
            "std_total": 3454,
            "std_approved": 2884,
            "std_denied": 570,
            "std_denial_rate": 16.5,
            "std_denial_rate_printed": null,
            "std_appeals_total": null,
            "std_appeals_overturned": 23,
            "std_appeal_overturn_rate": null,
            "exp_total": 433,
            "exp_approved": 426,
            "exp_denied": 7,
            "exp_denial_rate": 1.62,
            "ext_review_approved": 0,
            "std_tat_mean_days": 4.2,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 50.4,
            "exp_tat_median_hours": 0,
            "reports_counts": true,
            "quality_flags": "clean",
            "error_count": 0,
            "warn_count": 0,
            "source_url": "https://www.sanfordhealthplan.com/-/media/files/documents/final_hp-b133-south-dakota-31195-cms-interoperability.pdf",
            "source_segment": "regional",
            "extraction_note": "Only 'approved only after appeal' published; appeals-filed denominator absent.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:SD:31195",
            "filing_unit": "qhp_issuer"
        },
        {
            "filing_id": "f0653",
            "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.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "qhp:SD:50305",
            "filing_unit": "qhp_issuer"
        }
    ]
}