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Upgrade to ProYou are a Fraud & Waste Analyst at Cigna. The Special Investigations Unit (SIU) wants to identify claims whose billed amounts are statistical outliers compared to other claims in the same care setting. These anomalous claims could indicate billing errors, upcoding, or potential fraud and need manual review.
You are a Fraud & Waste Analyst at Cigna. The Special Investigations Unit (SIU) wants to identify claims whose billed amounts are statistical outliers compared to other claims in the same care setting. These anomalous claims could indicate billing errors, upcoding, or potential fraud and need manual review.