Message from Priority Health:
Some Cigna member claims submitted electronically by Michigan providers are being incorrectly denied due to a clinical edit. (The remittance advice will usually mention a missing or invalid diagnosis code.) We’re working hard to fix this as quickly as possible.
We’re pausing the edit in question as soon as possible to limit the number of impacted claims while we work to resolve the issue. The edit will be paused starting the week of July 11.
Once the issue is fixed, we’ll reprocess all incorrectly denied claims. You don’t need to resubmit these claims.
We apologize for any inconvenience this caused. Thank you for your continued partnership.
Kelli Stedge, MBA
Consultant, Provider Strategy & Solutions