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CignaCommercial · Administrative · CoverageMedium impact

2027 Cigna Care Designation and Tier 1 results

Act
by Aug 17, 2026
Effective date
Jan 1, 2027
Identified
Jul 16, 2026

Summary

Cigna Healthcare is implementing a new 2027 Care Designation (CCD) and Tier 1 provider evaluation program that separates primary care providers (PCPs) from specialty care providers (SCPs) for assessment. Tier 1 designation will display in Cigna directories starting October 2026 (preview) and become effective January 1, 2027, potentially affecting patient copayments and coinsurance based on provider tier status. Practices must submit reconsideration requests by August 17, 2026 if they want changes reflected in the October preview.

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What to do

by Aug 17, 2026 · 6 steps
01Providers and billing teams should review their 2027 CCD and Tier 1 results when communications arrive in June 2026.
02If discrepancies or data inaccuracies are identified, submit reconsideration requests via Cigna.com/CCDRequest, email (PhysicianEvaluationInformationRequest@CignaHealthcare.com), or fax (866.448.5506) to ensure corrections appear in the October 2026 preview.
03Include practice name, TIN, full address, and supporting documentation.
04Billing teams should monitor for Tier 1 designation updates in October 2026 and verify copayment/coinsurance structures align with the new tier assignments effective January 1, 2027.
05Update internal provider lists and billing software to reflect Tier 1 status to ensure accurate patient cost-sharing at point of service.
06No changes to billing codes or prior authorization processes are required, but patient benefits will differ based on whether providers are designated Tier 1.

Original notice

2027 Cigna Care Designation and Tier 1 results
providernewsroom.com · Always check the source before changing claims.
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2025 Cigna Care Designation reconsideration requests due August 23MediumEffective Jan 1, 2025 · Coverage2026 Cigna Care Designation and Tier 1 resultsMediumEffective Jan 1, 2026 · CoverageBrowse every Cigna change in the policy list

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