Who is affected by this change?

This affects Cigna on All Plans plans.

When does this change take effect?

This change is effective Jul 23, 2025.

What do I need to do?

Immediately: All providers must submit complete and detailed clinical documentation with every pre-service, concurrent, and post-service review request to Cigna Healthcare. Update EMR templates and workflows to ensure thorough documentation capture. Train staff on documentation requirements to prevent claim denials and payment delays.

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

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CignaAll Plans · Documentation · Claims & BillingHigh impact

Help expedite quality of care delivery through complete clinical documentation

Act

immediately

Effective date

Jul 23, 2025

Identified

Jun 18, 2026

Summary

Cigna Healthcare is emphasizing the need for complete clinical documentation for all pre-service, concurrent, and post-service reviews to prevent claim denials and care delays. Incomplete documentation will result in denials, approval delays, and payment issues.

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What to do

immediately · 3 steps

01All providers must submit complete and detailed clinical documentation with every pre-service, concurrent, and post-service review request to Cigna Healthcare.

02Update EMR templates and workflows to ensure thorough documentation capture.

03Train staff on documentation requirements to prevent claim denials and payment delays.

Original notice

Help expedite quality of care delivery through complete clinical documentation

providernewsroom.com · Always check the source before changing claims.

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