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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 >

Why clinical information matters in prior authorization requests for weight loss medications

August 15, 2025

Obesity is a serious health issue that often involves comorbid conditions such as diabetes, heart disease, and high blood pressure. As more patients seek help […] Read more >

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

August 26, 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 >

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 >

2026 Cigna Care Designation and Tier 1 results

June 25, 2025

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

Early screening for anxiety, depression, and substance use can make a significant difference

July 7, 2025

As a champion of your patients’ health, your care often extends beyond merely diagnosing and treating illnesses; you also play a crucial role in proactively […] Read more >

Cigna Healthcare Announces Actions to Accelerate Access to Care and Improve Patient and Physician Experience

February 28, 2025

Cigna Healthcare, the health benefits division of The Cigna Group, announced the first in a series of planned actions to improve the healthcare experience for […] Read more >

Enhancing care for diverse patient populations: Cultural resources for providers

September 30, 2025

As your patient population becomes increasingly diverse, delivering personalized care requires thoughtful consideration, adaptability, and flexibility. Culturally responsive care goes beyond addressing specific health needs […] Read more >

Latest news for Cigna Healthcare providers

September 29, 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 >

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 >

Changes to your CignaforHCP portal login screens

September 21, 2025

Beginning September 27, users will experience newly designed login screens on the Cigna for Health Care Professionals portal (CignaforHCP.com). This enhancement is part of an […] Read more >

Specialty pharmacy coding update: Soliris IV infusion medication

September 18, 2025

Beginning with dates of service on or after April 1, 2025, Healthcare Common Procedure Coding System (HCPCS) code J1299 is required for the prior authorization […] Read more >

Timely communication of test results

September 9, 2025

When and how results are shared may vary depending on the type of clinical test, where it is performed, and the practice’s established procedures. However, […] 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 >

Expanding the reach of your practice for connected heart health care

August 29, 2025

It’s the silent killer1 and the leading cause of death for men, women, and people of most racial and ethnic groups.2 The statistics highlight the increasingly complex […] Read more >

Reminder: Best practices to verify patient information before claim submission

August 21, 2025

There are various reasons why claims may be pended or denied, including instances where they are inadvertently paid under an incorrect patient profile. Oftentimes, the […] Read more >

New network option supports Cigna Healthcare Garden State plan

August 13, 2025

Effective July 1, 2025, a new network option, the Open Access Plus (OAP) New Jersey (NJ) Network, supports customers with Cigna Healthcare® Garden State plan […] Read more >

The importance of alerting us to expedited appeals that need immediate attention

August 6, 2025

In today’s complex health care landscape, timely access to necessary medical services can be paramount to achieving optimal patient health outcomes. You play a critical […] Read more >

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