U.S. Commercial
Provider News

Get the latest Cigna Healthcare U.S. commercial medical updates on a variety of topics, including policies, programs, clinical insights, electronic tools, and more.

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Cigna Healthcare removes 96 codes from the list of services that require prior authorization

May 30, 2025

Cigna Healthcare continuously evaluates codes based on their usage, the latest evidence-based standards of care, and feedback from our stakeholders. To help reduce the paperwork and […] Read more >

Introducing new precertification check and dashboard features on CignaforHCP.com

October 16, 2025

Delivering on our commitment to simplify the care experience for our customers — and for the providers who serve them — we continue to take […] Read more >

Lung cancer screening: Start a life-saving conversation

October 17, 2025

Lung cancer kills more Americans than any other cancer, yet a staggering 90 percent of eligible individuals aren’t getting screened.1 As a health care provider, […] Read more >

Boosting flu vaccine confidence: Essential insights for providers

September 26, 2025

As we approach peak flu season, which is typically December and February, it’s crucial to encourage vaccinations for all patients six months and older. 1 […] Read more >

Outpatient hospital physical and occupational therapy site-of-care review

September 22, 2025

Effective October 1, 2025, American Specialty Health® (ASH), a Cigna Healthcare® national ancillary provider, will begin managing the medical necessity review of outpatient hospital sites […] Read more >

New Reimbursement Policy for Professional Evaluation and Management Services Claims effective October 1, 2025

September 9, 2025

At-a-glance– New Policy: The new Cigna Healthcare® Evaluation and Management Coding Accuracy (R49) medical reimbursement policy will take effect on October 1, 2025, aligning with […] Read more >

Start Hearing to replace Amplifon as the national hearing aid supplier on January 1, 2026

October 15, 2025

Effective January 1, 2026, Start Hearing will replace Amplifon Hearing Health Care (Amplifon) as the national provider of digital and digitally programmable analog hearing aids […] Read more >

Expedited appeal submission tips

October 22, 2025

There may be times when you have an urgent need to appeal a coverage denial or partial coverage denial for your patient, and receive a […] Read more >

Avoiding delays in expedited appeals: reduced administrative burden, better patient outcomes

October 22, 2025

When time is of the essence, delayed or denied claims can have negative effects for both providers and patients. For providers, this may mean additional […] Read more >

Latest news for Cigna Healthcare providers

October 17, 2025

Thanks for visiting the Provider Newsroom, your hub for Cigna Healthcare updates on topics including new programs, clinical insights, policy updates, practice support resources, and […] Read more >

Preventive care saves lives and providers play a vital role in making that happen

October 17, 2025

Early detection remains one of the most powerful tools in the fight against cancer. Preventive care screenings—such as mammograms, colonoscopies, Pap tests, and low-dose CT […] Read more >

Tips for enhancing women’s health care experiences

October 15, 2025

Women have unique health care needs that require specialized attention throughout all stages of life. To improve health care experiences for women, it is essential […] Read more >

Specialty Medical Injectables with Reimbursement Restriction

October 15, 2025

Our Specialty Medical Injectables with Reimbursement Restriction guidelines state that certain injectables must be dispensed and their claims must be submitted by a Cigna Healthcare–contracted […] Read more >

How our national virtual care provider network can support your care and treatment plans

October 15, 2025

Accessing care can sometimes be a challenge for patients for many reasons ranging from logistical barriers to limited time, leading them to postpone or skip […] Read more >

Help combat antibiotic resistance during cold and flu season: Best practice for your patients’ health and HEDIS compliance

October 15, 2025

With the arrival of cold and flu season, your office will likely see a rise in patients with respiratory infections, which may vary from the […] Read more >

New Mexico language assistance services requirements

October 13, 2025

New Mexico law requires health plans to provide language assistance program (LAP) services to eligible customers who have limited English proficiency (LEP) and/or differing hearing […] Read more >

California language assistance services requirements

October 13, 2025

California law requires health plans to provide language assistance program (LAP) services to eligible customers with limited English proficiency (LEP). To support this requirement, we […] Read more >

Partnering for inclusivity: Supporting providers in meeting language assistance services requirements

October 9, 2025

Language barriers can pose significant obstacles to effective communication between patients and health care providers, hindering the delivery of care and ultimately affecting patient outcomes. […] Read more >

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