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Upgrade to ProYou are a Prior Auth Compliance Analyst at Cigna. Regulatory audits require verifying that patients who submit claims have the appropriate prior authorizations on file. The compliance team needs to identify patients who have claims in the system but have never had a single prior authorization request — these are potential compliance gaps that need review.
You are a Prior Auth Compliance Analyst at Cigna. Regulatory audits require verifying that patients who submit claims have the appropriate prior authorizations on file. The compliance team needs to identify patients who have claims in the system but have never had a single prior authorization request — these are potential compliance gaps that need review.