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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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There are two types of appeals: first-level appeals and second level appeals. You always start with a first-level appeal. Both are done inside within Cigna. Asking for an appeal is easy.
If you received a denial letter from Cigna, you should act quickly. Under ERISA, you must file an administrative appeal before filing a lawsuit. You usually only have 180 days from the date you received your denial to file your appeal.
How to Submit Claims. Cigna makes it easy for health care providers to submit claims using Electronic Data Interchange (EDI).
Medicare (Cigna for Seniors): In accordance with Medicare processing rules, non-participating health care providers have 15 to 27 months to file a new claim. Medicare patients' claims must be filed no later than the end of the calendar year following the year in which the services were provided.
Getting reimbursed To download the appropriate Health Care Reimbursement Request Form, visit Customer Forms. Read the claim form closely, and call us at 1 (800) 244-6224 if you have questions. One claim form can be used to request up to three expenses. ... Mail or fax claim forms to Cigna.
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If no additional documentation is required for your appeal or reconsideration request, fax in only this completed coversheet. You may use the space below to briefly describe your reason for appeal or reconsideration.
Your appeal should be submitted within 180 days and allow 60 days for processing your appeal, unless other timelines are required by state law.
If no additional documentation is required for your appeal or reconsideration request, fax in only this completed coversheet. You may use the space below to briefly describe your reason for appeal or reconsideration.
Your appeal should be submitted within 180 days and allow 60 days for processing your appeal, unless other timelines are required by state law.
Most claim issues can be remedied quickly by providing requested information to a claim service center or contacting us. Before beginning the appeals process, please call Cigna Customer Service at 1(800) 88Cigna (882-4462) to try to resolve the issue.

cigna provider appeal form pdf