Reviews & appeals
In the pages linked below, you’ll find detailed instructions on how to ask us to reconsider a decision we’ve made, whether coverage and payment or authorizations denials.
Claim reviews & appeals
Use the instructions on the pages below to submit reviews and appeals requests for medical and behavioral health claims.
Authorization reviews & appeals
Use the instructions on the pages below to submit reviews and appeals requests for medical and behavioral health authorizations.
What makes a good appeal?
Our Reimbursement team shares what you can and can't appeal, what to include in your appeal, how to request reviews for multiple claims and more.
Provider manual
- Authorizations
- Billing & payment
- Procedures & services
- Reviews & appeals
- Drugs
- Medical policies
- Provider forms
- Seeing Cigna members
- Requirements & responsibilities
- Clinical resources
- News
- Fraud, waste & abuse policy
- Join our networks
- Check patient eligibility
- Data exchange
- Set up electronic claims
- Set up electronic funds transfer (EFT)
- Check claim status