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Upgrade to ProYou are a Claims Audit Manager at Cigna. The audit team needs to flag claims that are billed above the overall average as potential outliers for closer review. High-billed claims may indicate billing errors, upcoding, or legitimately complex cases that require additional documentation.
You are a Claims Audit Manager at Cigna. The audit team needs to flag claims that are billed above the overall average as potential outliers for closer review. High-billed claims may indicate billing errors, upcoding, or legitimately complex cases that require additional documentation.