Cigna Healthcare of Florida, Timely Filing Limit

The most important thing to confirm with Cigna Healthcare of Florida, is not just the number of days, but also what event starts the clock. Some payer documents measure from date of service, some from discharge, and some publish different rules for corrected claims or appeals.

At a glance

• Cigna’s general provider guidance indicates participating provider claims should be filed within 90 days of the date of service and out-of-network claims within 180 days, unless applicable law or the provider agreement allows more time. For claims involving coordination of benefits, the filing window is measured from the primary payer’s EOB/EOP processing date. Behavioral health materials may use different contract terms (for example, 60 days plus a 30-day grace period, or other plan-specific rules).

Initial claim filing limits

• participating provider claims: 90 days from date of service
• out-of-network claims: 180 days from date of service

Corrected claim filing limits

• not specifically stated in the Florida sources located; corrected/resubmitted claims may reset filing only when originally filed timely and returned for additional information, depending on the relevant contract/manual

Appeal and reconsideration deadlines

• provider appeal deadline: 180 calendar days from initial payment or denial notice for most claims; 90 calendar days for Medicare customers

Trigger basis and caveats

• For consecutive-day facility services, the limit is counted from the last date of service in the claim set.
• For COB, the timely filing period runs from the primary payer’s processing date shown on the EOB/EOP.
• State law or provider agreement can override the general limit.
• Florida-specific timely filing language was not located in an official Florida-only provider manual in the search results.
• Different Cigna lines of business may have different timely filing rules.
• Behavioral health and some specialty products may use separate contract/manual deadlines.

Provider resources

• Cigna Healthcare provider claims submission (official)
• Cigna Healthcare appeals and disputes (official)
• Florida Medical Prior Authorization Form (official)
• Instructions for submitting a Florida Prior Authorization Form (official)
• Cigna Healthcare provider contact numbers (official)
• Cigna Healthcare Florida disclosures and contact information (official)
• Cigna provider contact information and portal guidance (Florida region) (official)

Sources