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Got questions?

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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You can submit an online prior authorization request for any customer who has Cigna prescription coverage. Moving forward, please visit CoverMyMeds at .covermymeds.com/main/prior-authorization-forms/cigna/ or via SureScripts in your EHR to learn more and submit all new PA requests electronically.
If you are unable to use electronic prior authorization, you can call us at 800.88Cigna (882.4462) to submit a prior authorization request. For Inpatient/partial hospitalization programs, call 800.926.2273. Submit the appropriate form for outpatient care precertifications. Visit the form center.
Submitting medical, dental, and behavioral claims electronically can help you save time, money, and improve claim processing accuracy. Using one of Cignas electronic data interchange (EDI) options allows you to send, view, and track claims no faxing, printing, or mailing.
Depending on a patients plan, you may be required to request a prior authorization or precertification for any number of prescriptions or services. A full list of CPT codes are available on the CignaforHCP portal .
Cigna-HealthSpring Referral Policy Although a Prior Authorization may not be required for certain services, a REFERRAL from a PCP to a Specialist MUST BE in place. The Referral should indicate PCP approved for a consultation only or for consultation and treatment, including the number of PCP approved visits.
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People also ask

Prior authorization is usually required if you need a complex treatment or prescription. Coverage will not happen without it. Thats why beginning the prior authorization process early is important.
Prior authorizationsometimes called precertification or prior approvalis a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.
For health insurance providers like Cigna, the prior authorization process takes an average of 5.7 hours, down from 18.7 hours.
Yes No Fax completed form to: (855) 840-1678 If this is an URGENT request, please call (800) 882-4462 (800.88.
Depending on a patients plan, you may be required to request a prior authorization or precertification for any number of prescriptions or services. A full list of CPT codes are available on the CignaforHCP portal .

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