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The First Week of Cigna R49: What Practices Haven't Felt Yet

The First Week of Cigna R49: What Practices Haven't Felt Yet

The First Week of Cigna R49: What Practices Haven't Felt Yet

Oct 35 min read

Social share graphic showing unbalanced scales with Clinical Judgment outweighed by Payer $$$, under headline First Cigna. Now Aetna. Downcoding Is Here.

Social share graphic showing unbalanced scales with Clinical Judgment outweighed by Payer $$$, under headline First Cigna. Now Aetna. Downcoding Is Here.

Aetna CCRP + Cigna R49: The Quiet Expansion of Payer Downcoding Policies (2025)

Sep 296 min read

Fax machine printing claim reconsideration forms, highlighting the administrative burden of appeals under Cigna’s R49 policy.

Fax machine printing claim reconsideration forms, highlighting the administrative burden of appeals under Cigna’s R49 policy.

Understanding Cigna's R49 Policy: A Critical Update for Providers

Sep 244 min read

In fact, one healthcare provider we worked with achieved 132% of monthly collection goals.

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