Cigna HealthCare of Texas
Cigna Texas Timely Filing Limit: 90 or 180 Days
Cigna Texas guidance uses 90 days for participating claims and 180 days for out-of-network claims. Review COB, contract, and resubmission exceptions.
Short answer
Cigna Texas guidance uses 90 days after service for participating-provider claims and 180 days for out-of-network claims, with contract, law, and COB exceptions.
Cigna HealthCare of Texas's first published filing rule in the reviewed sources is: Participating health care provider: 90 days after the date of service. Confirm the plan, provider agreement, and event that starts the filing period before submission.
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
| Fact | Value | Source | Confidence |
|---|---|---|---|
| Participating provider limit | 90 days after the date of service. | Official | high |
| Out-of-network provider limit | 180 days after the date of service. | Official | high |
| Consecutive-day services basis | If services are rendered on consecutive days, such as for a hospital confinement, the limit will be counted from the last date of service. | Official | high |
| COB basis | In Coordination of Benefits situations, timely filing is determined from the processing date indicated on the primary carrier's EOB/EOP. | Official | high |
| Resubmission reset | If a claim was timely filed originally but Cigna requested additional information, the filing limit resets to the date of the Cigna request for more information. | Official | high |
Last reviewed: March 27, 2026
Sources used: 1 official
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