CommercialDocumentationMedium impact
Ambulatory Medical Record Review: Attestation requirement for participating providers in Illinois Health Maintenance Organization network
Cigna·IL·Network
Effective date
Jul 2, 2024
We identified it
Jun 19, 2026
Summary
Cigna will conduct annual Ambulatory Medical Record Reviews (AMRR) for Illinois HMO network providers, with random audits to validate medical record documentation requirements. Providers who fail to meet documentation standards must sign and return an attestation form acknowledging deficiencies and committing to implement corrective procedures.
Action Required
Illinois HMO providers: Ensure all medical records meet Cigna's documentation standards found at CignaforHCP.com. If selected for audit and deficiencies are found, provider must personally sign and return attestation form to Quality Management team. Confirm valid email addresses are on file for provider and office staff. Questions should be directed to DedicatedAMRRMailbox@Cigna.com.