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Upgrade to ProYou are a Utilization Review Coordinator at Centene. The care management team needs to identify high-utilization patients -- those who have filed 5 or more approved claims. These patients may benefit from care coordination programs, disease management outreach, or a dedicated care navigator. The team needs each patient's claim count, total billed, and total paid amounts.
You are a Utilization Review Coordinator at Centene. The care management team needs to identify high-utilization patients -- those who have filed 5 or more approved claims. These patients may benefit from care coordination programs, disease management outreach, or a dedicated care navigator. The team needs each patient's claim count, total billed, and total paid amounts.