Cigna at a glance
| Legal name | Cigna Health and Life Insurance Company |
|---|---|
| Also known as | Cigna Healthcare, The Cigna Group |
| Category | Commercial |
| Parent organization | The Cigna Group |
| Claims payer ID | 62308 — registry reference; verify the member product, transaction and clearinghouse |
| Eligibility (270/271) payer ID | 62308 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 62308 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Members covered | ~18 million members |
| Provider resource entry point | https://cignaforhcp.cigna.com |
| Provider phone | 1-800-882-4462 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Cigna
Cigna's public provider guidance lists 90 days after service for participating providers and 180 days for out-of-network providers. Consecutive services use the last service date. Applicable law or the provider agreement may allow longer. Coordination-of-benefits timing uses the primary payer's EOB/EOP processing date. Requested information and extraordinary circumstances have separate exceptions; verify the applicable product and instructions.
| Submission type | Window |
|---|---|
| Initial claim reference | Participating-provider reference: 90 days |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
Reconsideration and appeal routes
- Provider payment appeal180 calendar days; verify the start event
For post-service payment disputes, count from the initial payment or denial notice, or the last payment adjustment when that adjustment is disputed. Customer/member appeals follow a different route. California procedures, applicable law and the provider agreement can change these instructions.
Source: Cigna provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Cigna
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Cigna electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Cigna. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Cigna
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Cigna volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 62308 — registry reference; verify the member product, transaction and clearinghouse |
| 270 / 271 eligibility | Listed in registry; verify current scope | 62308 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 62308 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Confirm whether the member is Cigna commercial, Cigna Healthcare, Cigna Medicare, behavioral health, pharmacy, or a delegated specialty-review workflow before selecting the authorization route.
- Use payer ID 62308 for standard Cigna medical claim routing only after confirming the member card and clearinghouse payer list.
- For imaging, cardiology, musculoskeletal, sleep, radiation oncology, specialty pharmacy, and similar categories, verify whether the request routes to Cigna, eviCore/Evernorth, CoverMyMeds, Availity, phone, or fax.
Common denial and routing risks for this payer
- Submitting a delegated specialty authorization through the wrong channel even when the clinical packet is complete.
- Releasing a claim whose CPT/HCPCS, units, site of service, rendering provider, or facility no longer match the approved Cigna authorization.
- Applying Cigna commercial timely filing or appeal windows to Cigna Medicare or employer-specific products without checking the current reference guide.
How QuickIntell supports this workflow
- Route Cigna requirement checks through a payer-specific authorization workqueue that separates Cigna-direct, eviCore/Evernorth, pharmacy, and Availity paths.
- Store the authorization number, delegated reviewer, approved units, dates, site, and provider/facility scope for downstream claim scrub checks.
- Flag Cigna claims with high medical-necessity or wrong-channel risk before 837 submission.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
Initial filing scope and exceptions
Source comparison: 2026-09-06
The provider page distinguishes participating and out-of-network filing (90 and 180 days after service). It addresses consecutive-service dates, primary EOB/EOP processing dates, requested information, and agreement or legal exceptions. These are not interchangeable with an appeal clock.
Primary source for initial filing scope and exceptionsProvider payment appeals and contact
Source comparison: 2026-09-06
Cigna lists 1-800-882-4462 for initial issue resolution. Its provider-payment appeal window is 180 calendar days from the initial payment/denial notice or disputed last adjustment. Member appeals, California procedures, contract provisions and law require separate routing; the generic three-stage ladder was removed.
Primary source for provider payment appeals and contacttimely_filing_days, filing_rule
Source comparison: 2026-09-18
The existing scoped 90-day participating/180-day out-of-network reference is supported. Contract/law, consecutive service dates and primary EOB processing exceptions must be checked; this comparison does not reapprove the stored appeal ladder or payer IDs.
Primary source for timely_filing_days, filing_rule
Not checked in this pass: All fields outside the specifically scoped findings, including legal-entity/NAIC identifiers, current enrollment and geographic coverage; Product-complete initial, corrected, secondary and appeal rules; applicable contracts and exceptions; Transaction-specific payer IDs, ERA enrollment and X12 278 unless explicitly established above; Prior-authorization code samples and current clinical criteria; QuickIntell capability/outcome claims and historical DataForSEO demand values; Accountable whole-record editorial approval (not supplied).
Sources used for this guide
Evaluate QuickIntell workflow fit for Cigna
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Cigna; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Cigna; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Cigna before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Cigna
Where is the Cigna provider portal?
Use https://cignaforhcp.cigna.com as a starting point for Cigna provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Cigna?
Cigna's public provider guidance lists 90 days after service for participating providers and 180 days for out-of-network providers. Consecutive services use the last service date. Applicable law or the provider agreement may allow longer. Coordination-of-benefits timing uses the primary payer's EOB/EOP processing date. Requested information and extraordinary circumstances have separate exceptions; verify the applicable product and instructions.
What is the Cigna payer ID?
Claims: 62308 — registry reference; verify the member product, transaction and clearinghouse. Eligibility (270/271): 62308 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 62308 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Cigna accept electronic claims?
Verify Cigna electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Cigna denial?
Identify the product, state and reason for the decision before choosing a Cigna dispute route. The listed starting route is Provider payment appeal (180 calendar days; verify the start event). For post-service payment disputes, count from the initial payment or denial notice, or the last payment adjustment when that adjustment is disputed. Customer/member appeals follow a different route. California procedures, applicable law and the provider agreement can change these instructions. Verify the controlling notice and exceptions; reconsideration, appeal and external review are not always a mandatory sequence.
How long do Cigna prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Cigna provider phone number?
This registry lists 1-800-882-4462 as a contact reference for Cigna. Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around Cigna requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Cigna's current published documents before submission. CPT® is a registered trademark of the American Medical Association.