EviCore by Evernorth to manage new precertification programs for Cigna Healthcare customers

Individual & Family Plans market changes effective January 1, 2025

November 1, 2024

Beginning January 1, 2025, Cigna Healthcare℠ will no longer offer Individual & Family Plans (IFPs) in the following markets: As a result, customers in the […]

Evernorth Behavioral Health – Updated administrative guidelines now available

November 1, 2024

The Evernorth® Behavioral Administrative Guidelines for participating providers, clinics, and facilities contain our administrative guidelines and program requirements, policies, rules, and procedures pertaining to providing […]

The importance of behavioral health integration in primary care

November 1, 2024

Treating both physical and mental health simultaneously can lead to better management of chronic conditions, reduced health care costs, and improved quality of life.1 We […]

Cigna Pathwell Specialty: Additions to the drug list

October 29, 2024

Cigna Pathwell Specialty® is for patients using a specialty medication to treat a complex medical condition. As part of this in-network-only benefit plan option, certain […]

Evernorth Behavioral Health adopts The ASAM Criteria, 4th Edition for customers aged 18 and older

October 28, 2024

Beginning November 2, 2024, Evernorth® Behavioral Health (Evernorth), will adopt the use of The ASAM Criteria, 4th Edition to conduct substance use level of care […]

2023 access to behavioral care results

October 21, 2024

Evernorth® Behavioral Health (Evernorth) is committed to helping customers access behavioral care when they need it. To support these efforts, we have established standards regarding […]

Behavioral Complex Case Management Program: Key findings from 2023 evaluation

October 18, 2024

Each year, Evernorth® Behavioral Health is required to evaluate its Behavioral Complex Case Management Program for accreditation purposes. Following are key findings from the 2023 […]

Cigna Healthcare Medicare Advantage: Customer ID card changes for the 2025 plan year

October 17, 2024

Effective for the 2025 plan year, Cigna HealthcareSM Medicare Advantage customer ID cards will no longer display the name and telephone number of the customer’s […]

2023 Behavioral Quality and Utilization Management program key findings

October 16, 2024

Quality care is critical to protecting and improving the health and well-being of our customers. With the help of our behavioral health quality committee, Evernorth® […]

EviCore by Evernorth to manage new precertification programs for Cigna Healthcare customers

October 11, 2024

Beginning November 1, 2024, EviCore by Evernorth® will begin managing precertification for additional services for Cigna Healthcare℠ customers. These services include certain cardiac and vascular […]

Cardiac and Vascular Intervention Program — Precertification to be managed by EviCore by Evernorth

October 11, 2024

Beginning November 1, 2024, EviCore by Evernorth® will begin managing precertification for certain Current Procedural Terminology (CPT®) codes for cardiac and vascular intervention procedures for […]

Spine surgery and related procedures added to musculoskeletal precertification program managed by EviCore by Evernorth

October 11, 2024

Beginning November 1, 2024, EviCore by Evernorth® will begin managing precertification for certain Current Procedural Terminology (CPT®) codes for spine surgeries and additional spine-related procedures […]

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