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Upgrade to ProYou are a Claims Dispute Analyst at Cigna. The appeals team needs to review denied or appealed claims where the patient is shouldering a large financial burden. Specifically, they want to see claims where the patient responsibility exceeds $100. To prioritize which cases deserve immediate attention, you need to compute a denial cost ratio that measures what percentage of the total billed amount the patient is responsible for.
You are a Claims Dispute Analyst at Cigna. The appeals team needs to review denied or appealed claims where the patient is shouldering a large financial burden. Specifically, they want to see claims where the patient responsibility exceeds $100. To prioritize which cases deserve immediate attention, you need to compute a denial cost ratio that measures what percentage of the total billed amount the patient is responsible for.