Starting October 1, 2025, Cigna Healthcare’s R49 downcoding policy is set to catch many practices off guard. These denials are not clerical mistakes; they’re part of a systemic tightening on higher-level E/M codes. Cigna Healthcare will not provide healthcare providers any notice; it happens automatically.
Sep 194 min read
In fact, one healthcare provider we worked with achieved 132% of monthly collection goals.
