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.) Priority Health is working hard to fix this as quickly as possible; they are pausing the edit in question as soon as possible to limit the number of impacted claims while they 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.

Click here to read the full article released by Priority Health.