Clear Claim Connection provides claim edit information for Cigna's commercial lines of business, as well as Cigna's government business (Medicare). On March 17, 2024, a Third Party Administrators radio button will be added to the Line of Business options. For claims with dates of service June 1, 2024, and later, Third Party Administrators can be used when Cigna prices the claim according to the provider contract but benefits and claim payment are administered through a third party.

Viewing claim code edits can be made easier with Clear Claim Connection. This disclosure tool, powered by Change Healthcare, allows you to enter CPT and HCPCS codes and immediately view their edit results. Users have to select the appropriate line of business using a radio button – Commercial, Medicare, Medicaid, or Third Party Administrators. Commercial is the default. If Medicare is selected, users will need to choose the rendering provider state from the PROVIDER STATE (MEDICARE ONLY) drop-down box.

Clinical Edit Clarifications offer the rationale behind an edit. Cigna is committed to providing solutions that can minimize your administrative costs while reducing the complexity of doing business with us.

• Clear Claim Connection (Available on your dashboard under "Claims")
• Clear Claim Connection Frequently Asked Questions