Clinical Reimbursement Policies and Payment Policies

Here you will find links to several key resources for health care professionals to help your practice perform efficiently and make it easier to do business with Cigna. To find the most recent Medical Necessity Review list, precertification policies, and modifiers and reimbursement policies, log in to CignaforHCP.com.
Document Title Document Type Document Size Last Updated
Claim Appeals Policies and Procedures Online Resource -- 02/21/2014
Claim Policies and Procedures Online Resource -- 07/31/2017
Complex Claim Review Online Resource -- 08/09/2019
Coverage Policies Online Resource -- --
Coverage Policy Updates Online Resource --
Evaluation and Management Coding Program Online Resource -- 07/01/2020
Laboratory Services Online Resource -- 01/25/2016
Referrals Online Resource -- 03/08/2016
Reimbursement Online Resource -- 04/30/2020
Revenue Code List Requiring CPT/HCPCS Codes for Outpatient Facility Claims PDF 117kB 01/30/2020