Medicare

Reminder: New rejection codes for Medicare Advantage claims

March 27, 2025

On December 5, our claim processing system for Cigna Healthcare® Medicare Advantage plans was updated to include new rejection codes. This may result in claim […] Read more >

Health equity resources for your practice

March 24, 2025

As a provider in the Cigna Healthcare℠ Medicare Advantage network, you have a deep understanding of the community you serve. There are a variety of […] Read more >

Cigna Healthcare Medicare Advantage transaction Frequently asked questions

March 19, 2025

Updated for transaction close: March 19, 2025 The acquisition of Cigna Healthcare’s Medicare Advantage, Supplemental Benefits, Medicare Part D and CareAllies businesses is now complete. […] Read more >

Welcome, Cigna Healthcare Medicare Advantage Providers: A message from Health Care Service Corporation

March 19, 2025

Welcome to Health Care Service Corporation. The transaction to acquire Cigna Healthcare’s Medicare Advantage, Supplemental Benefits, Medicare Part D and CareAllies businesses is now complete. […] Read more >

Tips to help you submit prior authorization requests quicker with the HSConnect provider portal

February 21, 2025

We are committed to helping reduce the time you and your office staff spend on administrative tasks. To ensure your prior authorization requests are processed […] Read more >

HEDIS and QRS data collection are right around the corner

January 16, 2025

Each year, we collect data for the Healthcare Effectiveness Data and Information Set (HEDIS®).* The National Committee for Quality Assurance (NCQA), employers, and health plans […] Read more >

Reminder: Centers for Medicare & Medicaid Services prohibition on billing Qualified Medicare Beneficiaries

December 23, 2024

Federal law prohibits all Medicare providers and suppliers, including pharmacies, from billing Medicare beneficiaries in the Qualified Medicare Beneficiary (QMB) eligibility group for Medicare Part […] Read more >

Changes for Part D Measures to 2025 Measurement Year for the 2027 Star Ratings

December 11, 2024

The Centers for Medicare and Medicaid Services (CMS) finalized the addition of two new Part D measures for the 2025 measurement year. Both were developed […] Read more >

Stars annual surveys overview

December 1, 2024

Reach for the Stars Higher Star ratings can positively impact the growth of your practice by: Surveys and data that contribute to Star ratings Consumer […] Read more >

Stars digital guidebook

December 1, 2024

Your patients use Star ratings and other quality measures to make informed health care decisions, such as who to choose as their primary care provider […] Read more >

Provider resources for accurate coding and documentation

December 1, 2024

You can help assure quicker payment by following the official guidelines for chronic condition coding and reporting, while adhering to the Centers for Medicare & […] Read more >

Prior authorization

December 1, 2024

Did you know? Less than four percent of all medical services for your patients with Cigna Healthcare Medicare Advantage plans require prior authorization. When services […] Read more >

Virtual provider education

December 1, 2024

Did you know you can access resources to stay current on trends impacting your practice, advance your skills, and meet your annual continuing medical education (CME) requirements – on the go? Read more >

Change Healthcare – latest updates

November 25, 2024

As you know, the Change Healthcare cyber incident continues to affect Cigna Healthcare, third party vendors we work with, and health care providers – as […] Read more >

Provider directory update

November 1, 2024

Update your information: Make sure we can find you! Because our directory pulls provider demographic information from the National Plan and Provider Enumeration System (NPPES), […] Read more >

Cigna Healthcare Medicare Advantage update: Discarded Drugs and Biologicals – JW Modifier and JZ Modifier Policy

July 26, 2024

We routinely review our coverage, reimbursement, and administrative policies for potential updates. In that review, we take into consideration one or more of the following: […] Read more >

Cigna Healthcare Medicare Advantage patient support programs

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 […] Read more >

Helping Cigna Healthcare Medicare Advantage customers find you

April 26, 2024

Is your Cigna Healthcare Medicare Advantage Provider Directory listing up to date? Ensuring your contact information is accurate makes it easier for our customers find […] Read more >

How are we doing?

Please let us know what you think of the Provider Newsroom information and news.

Contact Us