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270/271 eligibility and benefits transactions: Phase 3 enhancement now available
Effective date
Oct 5, 2026
Identified
Oct 6, 2026
Summary
Cigna Healthcare completed Phase 3 of 270/271 eligibility and benefits transaction enhancements on October 5, 2026. Providers can now submit procedure codes (CPT, HCPCS, ADA CDT) on 270 requests to receive procedure-specific benefit details in 271 responses, reducing follow-ups and supporting CAQH CORE1 compliance. No mandatory action is required unless your EDI vendor instructs system updates or testing.
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What to do
Action · 3 steps
01Already effective as of October 5, 2026: No action is required from your office unless your EDI vendor instructs you to update your system or complete testing.
02Contact your EDI vendor first to confirm whether any system updates or testing are needed and to obtain guidance aligned with your workflow.
03When submitting 270 requests going forward, limit each request to 10 or fewer procedure codes and include diagnosis codes (in the HI segment) and place of service codes (in the III segment) when applicable to receive the most accurate benefit details in 271 responses.
Original notice
270/271 eligibility and benefits transactions: Phase 3 enhancement now available
providernewsroom.com · Always check the source before changing claims.
Related changes
See all Cigna changes →270/271 eligibility and benefits transactions: Phase 3 enhancement now availableMediumEffective Oct 5, 2026 · CodingEnhancements to the 270/271 eligibility and benefits transactions for faster, clearer resultsMediumEffective Apr 24, 2026 · Coverage270/271 eligibility and benefits transactions: Phase 2 enhancement launchedMediumEffective Jun 19, 2026 · CoverageBrowse every Cigna change in the policy list