Not only the automation is a problem. Cigna is the only one that knows the rule set. This forces the patient or biller to try out multiple combination of code

Not only the automation is a problem. Cigna is the only one that knows the rule set. This forces the patient or biller to try out multiple combination of codes until he strikes told. This is why healthcare is so expensive. Remove cpts and icds and the admin overhead syatem goes away But that requires insurances to be there for catastrophic care only (I.e. reverse lottery) , and this is not palatable with the govt crowd