Cigna: Single appeal reviews
April 22, 2013Historically, for certain business units and types of appeals, Cigna has offered second-level appeals to health care professionals who were not satisfied with the resolution of a first-level review. Please be aware that beginning July 1, 2013, Cigna will no longer offer second-level appeals. All appeals will follow a thorough single appeal review process and will be completed within 60 days. This change establishes a consistent approach for health care professionals across Cigna’s network. As a reminder, all appeals should be initiated in writing within 180 calendar days of the date of the initial payment or denial decision. If the appeal relates to a payment that we adjusted, the appeal should be initiated within 180 calendar days of the date of the last payment adjustment.