Follow the rules. Understand the workflow. Protect access to care.
Source-backed reporting and analysis connected to the companies, capabilities, authorities, and operating domains it affects.
Cotiviti's official record says it completed the acquisition of Edifecs in March 2025, and current Edifecs product paths now point into Cotiviti's web estate. Buyers should update ownership and support records without assuming that a licensed gateway, interface, configuration, contract, or production workflow changed in the same way.
Cigna's provider page assigns different purposes, requirements, channels, and decision limits to three related workflows. Treating them as one authorization status loses the payer and provider responsibilities that control the request.
The March 31 reporting milestone creates a new, imperfect public evidence layer for examining payer authorization volume, outcomes, and decision timeframes.
The initial Decision Intelligence Ecosystem connects Anterior, Latitude Health, and Case Health AI to GuidingCare, signaling a modular market for clinical review intelligence.
The provider-side offering combines rules, payer connectivity, automation, EHR completion, and human operations across determination, submission, and follow-up.
Beginning March 7, 2026, EviCore took on additional inpatient and outpatient authorization categories for specified Cigna Healthcare plans.
The joint offering pairs Availity's payer-provider network with Onyx's FHIR platform for payer API, data transformation, prior authorization, and reporting requirements.
The payer committed to removing about one-third of outpatient prior-authorization requirements, expanding one-day decisions, and launching a national gold-card program.
