CommercialAdministrativeMedium impact
Appeals reminders
Cigna·Claims & Billing
Effective date
Jun 28, 2024
We identified it
Jun 19, 2026
Summary
Cigna Healthcare has updated their appeals process reminders, clarifying that providers have 180 calendar days from the initial payment/denial notice to submit written appeals, and customers have 180 days from the last determination. The policy emphasizes using CignaforHCP.com as the preferred method and outlines specific documentation requirements for different appeal types.
Action Required
Immediately: Billing team should review current appeal tracking procedures to ensure all appeals are submitted within 180 calendar days of initial payment/denial notices. Train staff on using CignaforHCP.com as the preferred appeal submission method. Update appeal documentation checklists to include required items: original claim copy, explanation of payment/benefits, narrative description, operative reports, and medical records for clinical denials. Establish tracking system to monitor appeal deadlines to avoid missing the 180-day window.