Improving the health care experience for providers and patients
AI Summary
Cigna Healthcare removed prior authorization requirements for 345 tests, procedures, and services (15% decrease) and enhanced their provider web portal to allow online PA submission, status checking, and documentation upload. They also expanded post-care claims advocacy support for complex situations.
Action Required
Immediately: Billing team should access the enhanced Cigna Healthcare provider web portal to utilize new online prior authorization submission features. Update workflows to use online PA status checking and documentation upload capabilities. Contact the new post-care claims advocacy team (available for 155,000+ customers) for assistance with challenging PA decisions or high-cost claims. Review current PA requirements as 345 services no longer require authorization.
Plan Types
Commercial
Specialties
all-specialties