Azure / Azure/Medical-Claims-Transaction-Processing-at-scale
Recommendation improvements
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Description
After ACKing the claim with $14438.1 total value, recommendation shows a value that doesn't exist in any of the documents.
Needs to review if/how this can be improved.
- Summary:
The "TotalAmount" is 14438.1 and the sum of "Amount" values is 14638.1.
- Review Result:
Deny
- Reasoning:
The "TotalAmount" (14438.1) is greater than 200.00 and the sum of "Amount" values (14638.1) is greater than the "TotalAmount". Therefore, the claim fails the Deny rule.
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