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Upgrade to ProYou are a Utilization Management Director at Aetna. The clinical review team needs a report on prior authorization outcomes by procedure. For each procedure, they want to know how many prior auth requests were submitted, how many were approved, how many were denied, and the approval rate percentage. This analysis identifies procedures with unusually high denial rates that may require policy review.
You are a Utilization Management Director at Aetna. The clinical review team needs a report on prior authorization outcomes by procedure. For each procedure, they want to know how many prior auth requests were submitted, how many were approved, how many were denied, and the approval rate percentage. This analysis identifies procedures with unusually high denial rates that may require policy review.