Ambulatory Medical Record Review: Attestation requirement for participating providers in Illinois Health Maintenance Organization network

White coat syndrome: Why it matters

July 22, 2024

Patients who have a high blood pressure reading during a provider visit but a normal reading outside the office may suffer from white coat syndrome […]

Updates to the Code Editing Policy and Guidelines

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 […]

Ambulatory Medical Record Review: Attestation requirement for participating providers in Illinois Health Maintenance Organization network

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 […]

2025 Cigna Care Designation reconsideration requests due August 23

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 […]

2024–2025 Cigna Healthcare Centers of Excellence designations

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 […]

Help your patients take control of their heart health

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 […]

Appeals reminders

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 […]

Brand evolution migrates some emails to Cigna Healthcare or Evernorth Health Services

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 […]

Submitting prior authorization requests just got easier

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 […]

Cigna Healthcare Medicare Advantage – Part B step therapy enhancements

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 […]

Zelis to assist with payment integrity claim reviews for Cigna Healthcare Medicare Advantage

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 […]

Cigna Healthcare Medicare Advantage patient support programs

May 29, 2024

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

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