July 16, 2024

We routinely review Evernorth Behavioral Health and Cigna Healthcare coverage, reimbursement, and administrative policies for potential updates while taking into consideration evidence-based medicine, professional society […]

July 2, 2024

Annually, we conduct an Ambulatory Medical Record Review (AMRR) of participating providers in our Illinois Health Maintenance Organization (HMO) network.* To support this important aspect […]

July 1, 2024

Cigna Healthcare regularly evaluates the quality and cost-efficiency information of network-participating providers in 21 specialty types, including primary care. Physicians who meet specific criteria may […]

July 1, 2024

The Cigna Healthcare Centers of Excellence (COE) program is designed to meet the growing customer demand for information about patient outcomes (quality) and cost efficiency […]

July 1, 2024

Because high blood pressure often has no symptoms, your patients may not be aware of their blood pressure numbers or risk for hypertension until a […]

June 28, 2024

When providers reach out to us about claim payment disputes, we strive to resolve them informally on that initial contact. If this isn’t possible, we […]

June 28, 2024

As part of our brand evolution under The Cigna Group, which includes the Cigna Healthcare℠ and Evernorth® Health Services brands, you may notice that some […]

June 20, 2024

We understand that calling in prior authorization requests (also known as precertification requests) can be time-consuming. That’s why we have created a simple form that […]

June 5, 2024

Step therapy is a required process that applies to certain Medicare Advantage Part B prescription drugs. It requires customers to first try preferred medications over […]

May 30, 2024

Cigna HealthcareSM is committed to providing efficient and accurate claims processing that is consistent with the Centers for Medicare & Medicaid Services and American Medicare […]

May 29, 2024

Cigna Healthcare offers several in-home and telephonic patient support programs for your patients with Cigna Healthcare Medicare Advantage coverage that enable early intervention for their […]

May 29, 2024

The Cigna HealthcareSM Medicare Advantage Preferred Provider Organization (PPO) Attribution team has made updates to the Medicare primary care provider (PCP) attribution methodology that are […]