New! We’re making updates to help you identify and resolve certain electronic claim submission errors more quickly
If you submit claims through electronic data interchange (EDI) using the 837 transaction, you already benefit from a fast, efficient process that supports timely adjudication. Building on that foundation, Cigna Healthcare will soon release an enhancement that flags certain billing errors at the time of submission, allowing you to correct issues earlier in the claims process and helping to reduce post-adjudication denials.
Effective July 1, 2026, claims with dates of service on or after January 1, 2026, that include an unacceptable primary diagnosis1 may be returned at the point of submission for correction, rather than being processed through post-adjudication review. This allows you to correct and resubmit the claim before adjudication begins.
What this update means to you
Identifying and correcting the claim at submission can help you:
- Reduce rework and rebilling associated with post‑adjudication claim corrections.
- Support more streamlined administrative workflows.
- Support quicker issue identification and more predictable payment timelines.
- Reduce time spent on administrative follow-up, allowing greater focus on patient care.
- Experience a more transparent claims submission process.
Learn more
Read the Provider Newsroom article for additional details, including steps you can take to prepare for this update.
Thank you for your continued partnership and for the care you provide to our customers. We appreciate the opportunity to support your practice through administrative enhancements intended to promote efficient and transparent claims processing.
Thank you for the ongoing care you provide our customers.
