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Imaging Denial

Cigna Denied Your CT Scan?

According to federal data, Cigna Healthcare (The Cigna Group) denies approximately 18.5% of claims. When patients appeal, about 52% are overturned. Your ct scan denial may have grounds for a successful appeal.Sources: KFF ACA Marketplace Transparency Data, HHS OIG Reports, state insurance department filings. Rates are aggregate averages — individual results vary by plan type, denial reason, and documentation.

18.5%
Denial Rate
52%
Appeal Success
30-60 days
Typical Timeline
$1,000–$5,000
Typical Claim

Based on published government and industry research. Individual results vary based on denial type, insurer, and documentation.

Why Cigna Denies CT Scan

Not medically necessary based on clinical criteria

MRI recommended instead of CT

Prior imaging not attempted first

Cigna's Common Denial Tactics

Mass auto-denials (300,000 claims in 2 months at 1.2 seconds each)

Requiring step therapy for medications your doctor already tried

Denying claims as "experimental" despite FDA approval

How to Win Your CT Scan Appeal

Physician order with clinical indication

Evidence that CT is more appropriate than MRI for the condition

ACR Appropriateness Criteria supporting CT for diagnosis

Laws That Protect You

ACA — Preventive screening requirements

State imaging parity laws

Emergency prudent layperson standard

Tips for Appealing to Cigna

Reference the ProPublica investigation into automated denials

Gather evidence of prior failed treatments to counter step therapy requirements

Obtain peer-reviewed studies supporting FDA-approved treatments

Ready to Review Your CT Scan Denial?

Upload your denial letter and get a clear analysis in minutes. We'll identify potential weaknesses in Cigna's reasoning and outline your appeal options.

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This information is for educational and informational purposes only. It does not constitute legal or medical advice. Statistics cited are from publicly available sources including KFF, HHS OIG, and state insurance department data. Individual results may vary. Consult a qualified professional before taking action on your specific situation.

Cigna Denied Your CT Scan? Here's How to Appeal | Lysco