Cigna (through eviCore) has implemented a pre-certification process for total joint arthroplasty patients. To access the Cigna/EviCore approval process, visit or call 888-693-3297.

If your staff has problems getting cases approved in a timely fashion, it is essential that that you make this clear to eviCore and Cigna. It is also essential that you inform AAHKS if you have experienced denials or delays in authorization by emailing AAHKS will then review this data with Cigna in late February or early March.