CommercialAdministrativeMedium impact
Annual HEDIS and QRS data collection are right around the corner
Cigna·Medical Policy
Effective date
Jan 21, 2026
We identified it
Jun 18, 2026
Summary
Cigna Healthcare is beginning their annual HEDIS and QRS data collection process, requesting medical records from provider offices starting late January 2026. Providers are contractually required to submit requested medical records within specified timeframes and can reduce future requests by using proper CPT Category II and ICD-10-CM coding.
Action Required
Starting late January 2026: Respond promptly to Cigna HEDIS medical record requests within specified timeframes. Use electronic submission methods (EMR remote access, SFTP upload, or secure fax with max 3 records per fax). Implement CPT Category II and ICD-10-CM supplemental tracking codes on claims for preventive care services to reduce future record requests. Access HEDIS documentation guidelines at CignaforHCP.com under Resources > Medical Resources > Commitment to Quality.