Cigna HealthCare of Texas Timely Filing Limit

The most important thing to confirm with Cigna HealthCare of Texas 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 provider claims page states the filing limit is 90 days after date of service for participating providers and 180 days for out-of-network providers, with service-consecutive claims counted from the last date of service. Cigna also lists exceptions, including longer filing periods required by law, provider-agreement extensions, COB timing tied to the primary carrier EOB/EOP date, resubmissions requested by Cigna, and extraordinary circumstances.

Initial claim filing limits

• Participating health care provider: 90 days after the date of service
• Out-of-network provider: 180 days after the date of service

Corrected claim filing limits

• If a claim was timely filed originally and Cigna requested additional information, the filing limit is reset to the date of the Cigna request for more information.
• If the resubmission is not a Cigna request and is not an appeal, the original filing limit applies.

Appeal and reconsideration deadlines

• Not clearly published in the researched sources.

Trigger basis and caveats

• For consecutive-day services, the filing limit is counted from the last date of service.
• For coordination of benefits, timely filing is determined from the processing date on the primary carrier's EOB or EOP.
• This answer reflects Cigna's general provider claims guidance; a specific provider agreement or state law may supersede these limits.
• The source does not provide a standalone universal appeal deadline for claims denials.

Provider resources

• Cigna Healthcare provider claims submission and filing guidance (official)
• Cigna Healthcare precertification and prior authorization (official)
• Cigna for Health Care Professionals portal features (official)
• Electronic claim payments (EFT/ERA) (official)
• Texas prior authorization form instructions (official)
• Texas prior authorization exemption legislation FAQ (official)

Sources