Denial Facts
Arizona

Cigna HealthCare of Arizona denied your claim. Here is your deadline.

Your two dates, free

Put in the date on your Cigna HealthCare of Arizona, Inc notice and get both federal deadlines as calendar dates.

Free, for a Cigna HealthCare of Arizona, Inc denial in Arizona, and it runs entirely in your browser. The date, the plan type and the state you pick are never sent to us and never stored.

Cigna HealthCare of Arizona, Inc denied 22,637 of 139,645 in-network claims in Arizona; every one of those denials had these same two dates on it. Across Arizona as a whole the insurers in this file denied 20.1% of in-network claims, 1,581,162 of them, and 12,351 were appealed.

Cigna HealthCare of Arizona, Inc denied 16.2% of in-network claims in Arizona, 22,637 claims out of 139,645.

Cigna Claim denied because of billing. Out of network
We hear this most. r/HealthInsurance, thread title, read September 3, 2026.
The number nobody else publishes, and here it is missing. CMS publishes no external-review figure for Cigna HealthCare of Arizona, Inc in Arizona, so nobody, including the regulator, can say whether anyone ever got that far. We print no number rather than reading an absence as a zero. Nationally, 5,881 of 84,502,749 denials reached that stage, one in every 14,369, and 32.8% of those were overturned.

Those 22,637 denials are 1.4% of every in-network denial recorded in Arizona in this release, which makes Cigna HealthCare of Arizona, Inc the 5th largest source of denials of the 6 insurers reporting there. Spread across its 16 plans in the state that is about 1,415 denials per plan. 39 internal appeals were filed against those 22,637 denials. Every one of those denials carried the same two dates the tool at the top of this page works out.

The clock your letter has to describe, in actual dates

Two dates matter more than anything else on this page, and they run the same in Arizona as everywhere else. You have 180 days from the date on your denial notice to file the internal appeal, and then 4 months from the final internal denial to ask for an independent external review. If waiting would seriously jeopardize your health you can ask for both to be expedited, decided in about 72 hours. Both timeframes are federal, not your insurer's choice, 29 CFR 2560.503-1 (PDF) and 45 CFR 147.136 (PDF), in plain English at HealthCare.gov, and your own denial letter states the ones that govern your plan. The PDFs are the same sections on govinfo.gov, which serves them without a challenge page, so an automated reader can check these two dates as easily as you can.

Data verified September 5, 2026 · CMS Transparency in Coverage Public Use File (PY2026 release, PY2024 claims), data.healthcare.gov — US Government public domain

You are not alone, and here is the measured version of that sentence: 22,637 in-network claims were denied by Cigna HealthCare of Arizona, Inc in Arizona in a single plan year. A denial rate is a fact about an insurer's book of business. It is not a judgment about you, and it is not the last word on your claim.

What to do tonight
  1. Find the reason code on your denial letter. The reason Cigna HealthCare of Arizona, Inc records most often in Arizona is provider out of network, but yours may be one of the other 8, copy the exact wording and code off your own letter tonight, because that sentence is what your appeal has to answer.
  2. Ask Cigna HealthCare of Arizona, Inc in Arizona for the clinical criteria they judged you against. Under 29 CFR 2560.503-1 they have to hand you the claim file and the policy they applied, free, on request, and you cannot argue with a checklist you have never read.
  3. Put both deadlines on your calendar before you go to bed. 180 days from the date on the letter for the internal appeal, 4 months from the final internal denial for external review. The free calculator on this page turns your date into the two calendar dates in about ten seconds. Cigna HealthCare of Arizona, Inc overturned 56.41% of the internal appeals it did receive, 22 claims, so the stage you are about to start is not decorative.

None of those three steps costs anything. Anyone charging you to do them is selling you something you can do yourself in twenty minutes.

16.2%
In-network denial rate
22,637
Claims denied
16
Plans in Arizona
39
Internal appeals filed
56.41%
Internal overturn rate

How that compares

Denial rateRateDifference
Cigna HealthCare of Arizona, Inc16.2%,
Arizona average20.1%-3.9 pts
National average (this dataset)18.7%-2.5 pts

Cigna HealthCare of Arizona, Inc sits at or below the national average across this dataset. A denial rate is a property of the insurer's book of business, coding practice, plan design, the population it covers, not evidence about the merits of any one claim, including yours.

What happened to appeals

StageFiledOverturned
Internal appeal (to Cigna HealthCare of Arizona, Inc)3956.41%
External review (independent)not reportednot reported
Read the table for what it is: the external-review row above shows a dash, which means not reported and not zero, the Arizona absence this page states once at the top for Cigna HealthCare of Arizona, Inc and sources once at the foot. External review is free to you and the insurer must follow the decision, whatever this file does or does not record about it.

What that record means for your own Cigna HealthCare of Arizona, Inc letter, and by when. Cigna HealthCare of Arizona, Inc overturned 56.41% of the 39 internal appeals its Arizona members filed against 22,637 denials, and the Arizona escalation count for Cigna HealthCare of Arizona, Inc is the figure this page names as absent at the top, so how many of those denials went on to the independent stage is not something this page can tell you, Cigna HealthCare of Arizona, Inc's own rows in the plan-year 2026 release of the CMS Transparency in Coverage file, read September 5, 2026 (data.healthcare.gov). Whichever way that lands, nobody files the appeal for you, and the filing runs on a clock set by which plan you hold: an employer or Marketplace plan gives you at least 180 days from the denial notice to file the internal appeal (29 CFR 2560.503-1(h)(3)(i), carried onto individual-market coverage by 45 CFR 147.136(b)(3)(i)), while Medicare Advantage gives you 60 calendar days after you receive its notice (42 CFR 422.582(b)) and Medicaid managed care the same 60 calendar days from the date on the notice (42 CFR 438.402(c)(2)(ii)), both stages free, and the three steps above are the whole of what to do tonight, so take the date printed on your Cigna HealthCare of Arizona, Inc notice and file well inside whichever of those windows is yours. The free steps are above; the $29 kit is the same clock with the letters pre-filled for Cigna HealthCare of Arizona, Inc in Arizona. One payment. No subscription. No cut of your claim.

Cigna HealthCare of Arizona, Inc inside Arizona

Your denial did not happen in a national average. It happened in a state market, alongside 6 other insurers reporting into the same federal file, and these are that market's own figures.

What Cigna HealthCare of Arizona, Inc denies most

The most common denial reason recorded for Cigna HealthCare of Arizona, Inc plans in Arizona is provider out of network. How that denial is beaten →

Denial reasonClaimsShareNational share
Provider out of network5,69527.8%9.8%
Administrative reason4,98124.3%22.5%
Other reasons4,95924.2%32.3%
Not medically necessary4,29421%4.6%
Service excluded from the plan2701.3%11.6%
Member not covered1680.8%6.6%
Referral required1220.6%8.4%

The last column is each reason's share of all categorized denials nationally, so you can see where Cigna HealthCare of Arizona, Inc's mix in Arizona differs from everyone else's. This is denial mix, not overturn rate by reason, the federal file does not report appeal outcomes broken down by denial reason, and we do not imply otherwise.

Work out your two deadlines

Put the date from your notice in and get the two calendar dates, with the days remaining.

Runs entirely in your browser, the date you type is never sent to us and never stored. Open the full calculator →

The three steps at the top of this page are the whole of what you have to do tonight. The longer version, what the internal appeal has to contain, how the independent stage works, and how to ask for expedited handling when waiting would seriously jeopardize your health, is published free here. For what it is worth on this page specifically: Cigna HealthCare of Arizona, Inc overturned 56.41% of the internal appeals it received.

Who appeals what at Cigna Healthcare, the insurer's own routing table

Cigna Healthcare publishes a table of which denial scenarios are appealed by you, the member ("customer appeal") and which only your health care provider can appeal. Almost no patient ever sees it, and appealing a denial that only your provider has standing to appeal burns time inside a fixed window. Quoted from Cigna Healthcare's published policy (a page written for health care providers), checked 2026-08-25. It is brand-level and applies to Cigna HealthCare of Arizona, Inc in Arizona the same as to every other Cigna Healthcare entity in the file.

Denial scenario (Cigna Healthcare's wording)Who appeals it
Precertification (authorization) denial (for services not yet rendered)You (customer appeal)
Precertification (authorization) not obtained – services deniedYour provider
Claim reimbursement denial (including mutually exclusive, incidental, or bundling denials)Your provider
Experimental or investigational procedure denialEither, you or your provider
Benefit denials (e.g., exclusion, limitation, administration [e.g., copay, deductible, etc.])You (customer appeal)
Maximum reimbursable amountYou (customer appeal)
Inpatient facility denial (e.g., level of care, length of stay, delayed treatment day)Either, you or your provider
Medical necessity denialEither, you or your provider
How to use this: if your scenario says "health care provider appeal", the move is a call to your provider's billing office asking them to appeal, not a letter from you. If it says "Either", a provider-led appeal and your own member appeal can run together. Your member rights under federal law, generally 180 days for the internal appeal, then external review, apply regardless of this table, and regardless of which of the 7 insurers reporting in Arizona sent your letter.

Operational facts from the same policy

Sources: Cigna Healthcare, "Appeals and Disputes Policy and Procedures", quoted, not paraphrased; audience: health care providers; checked 2026-08-25. Cigna Healthcare, "Health Care Appeals & Grievances (member guide, undated page)", quoted, not paraphrased; audience: members; checked 2026-08-26. Brand-level policy, applied here because Cigna HealthCare of Arizona, Inc is a Cigna Healthcare entity. Your own denial letter and plan documents govern your specific case.

Questions

Is Cigna HealthCare of Arizona, Inc's denial rate in Arizona high?

16.2% against a national average of 18.7% across the plans in this dataset. It is at or below average. A denial rate describes the insurer, not the merits of your claim.

How many people appealed a Cigna HealthCare of Arizona, Inc denial in Arizona, and how many won?

39 internal appeals were filed against 22,637 denials, and 56.41% of them were overturned (22 claims). How many went on to independent external review is not on the record for Cigna HealthCare of Arizona, Inc in Arizona, that is the absence stated at the top of this page and sourced at the foot of it.

How does Cigna HealthCare of Arizona, Inc compare with other insurers in Arizona?

Of the 6 insurers in Arizona with a reported denial rate, Cigna HealthCare of Arizona, Inc ranks 5 highest at 16.2%. The highest in Arizona is Imperial Insurance Companies, Inc. at 33.1%; the lowest is Blue Cross and Blue Shield of Arizona, Inc. at 15.3%.

What does Cigna HealthCare of Arizona, Inc deny most often in Arizona?

Provider out of network, 5,695 claims, 27.8% of this issuer's categorized denials, against 9.8% nationally. This is the denial-reason mix; the federal file does not report overturn rates by reason.

How long do I have to appeal a Cigna HealthCare of Arizona, Inc denial in Arizona?

Generally 180 days from the date on the denial notice to file the internal appeal, then generally four months from the final internal denial to request independent external review. Expedited review, decided in about 72 hours, is available where delay would seriously jeopardize your health. Those timeframes are federal, so they are identical for every insurer reporting in Arizona, Cigna HealthCare of Arizona, Inc included, what varies by state is who runs the independent review at the end. Your own denial letter states the deadlines that govern your plan; that letter is the authority.

Does appealing a Cigna HealthCare of Arizona, Inc denial in Arizona cost anything?

The internal appeal to Cigna HealthCare of Arizona, Inc is free. External review is free under the HHS-administered federal process; where an issuer uses a contracted independent review organization or a state process, any fee is capped at $25 per review. Nobody in Arizona can be charged more than that to file one.

Can Cigna HealthCare of Arizona, Inc ignore an external review decision in Arizona?

No, and that is the whole point of the stage. External review decisions are binding on the plan by law. The count is the one this page names as absent for Cigna HealthCare of Arizona, Inc in Arizona, so none is printed for it, an absent figure is not a count of none.

Cigna HealthCare of Arizona, Inc sits at 16.2% in Arizona against 18.7% nationally, and that is the whole of what this page can honestly tell you about your own claim. I am not going to tell you that you will win. This page prints the insurer's own reported numbers whichever way they fall. If what it says does not match the letter in your hand, write to me and I will correct the page.

, Andrew at Axion Labs · hello@getaxionlabs.com
Get my Appeal Kit, $29

Everything you need for your Cigna HealthCare of Arizona, Inc appeal in Arizona: your two deadlines, the argument that fits your denial reason, the letters, the clinician brief, and the external review request. One payment. No subscription. No cut of your claim. Opens on screen the moment you pay. 14-day refund, no questions, one email to hello@getaxionlabs.com.

Where these numbers come from

The Cigna HealthCare of Arizona, Inc figures on this page, the 16.2% denial rate, the 22,637 denials, are this issuer’s own reported rows in that file. CMS did not report an external-review figure for Cigna HealthCare of Arizona, Inc in Arizona in the plan-year 2026 release of the Transparency in Coverage file, which is why no external-review count appears above.

Counts: CMS Transparency in Coverage Public Use File (PY2026 release, PY2024 claims), data.healthcare.gov — US Government public domain. Rights and timeframes: 29 CFR 2560.503-1 (180 days, and your free right to the claim file) and 45 CFR 147.136 (4 months, and what qualifies), explained at HealthCare.gov. Expedited review is decided in about 72 hours under both sections.

Reading either regulation from a script rather than a browser: eCFR answers automated fetches with a challenge page, so the same two sections are mirrored as government PDFs at govinfo.gov (29 CFR 2560.503-1) and govinfo.gov (45 CFR 147.136).

This page presents federal statistics and a general description of appeal rights created by federal law. It is not legal, medical, or insurance advice, and no outcome is guaranteed. Your denial letter and plan documents govern your specific case. Free help is available from your state's Consumer Assistance Program and from the federal Marketplace at HealthCare.gov.
Problem solved: You have both dates for your Cigna HealthCare of Arizona, Inc notice, you know that Arizona runs the external review itself, and you have the letter, free, on this screen, tonight.

Your words, in a box, read by a person. We ask for no name and no email.