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Click ‘Get Form’ to open the Cigna Prior Authorization Form in our editor.
Begin by filling out the Member Information section. Enter the member's name, date of birth, and member ID in the required fields.
Next, complete the Requesting Provider Information. Input the PCP or requesting provider's name, contact person, phone number, and fax number.
If applicable, provide details for the servicing provider. Include their name, tax ID number, NPI number, and contact information.
Select the Type of Service by checking only one box that corresponds to the requested service.
In the Clinical Information section, enter the diagnosis code and procedure/service requested. Ensure to attach any supporting clinical information as indicated.
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Some plans allow patients to file their own prior authorizations, but most often this is a process that must be initiated with the doctors office. Often your doctor will have an idea that the healthcare you need is likely to require this extra step.
How long does Cigna take to approve prior authorization?
Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request.
Why does Cigna require prior authorization?
Precertification (also known as prior authorization) can confirm the medically necessity of the proposed medical services or medications. It also can help determine if the patients Cigna Healthcare benefits cover the services or medications. Precertification requirements will depend on the type of services offered.
What is a prior authorization request form?
Prior authorization requires your doctor or provider to obtain approval from your health plan before providing health care services or prescribing prescription drugs. Without prior authorization, your health plan may not pay for your treatment or medication. (Emergency care doesnt need prior authorization.)
How do I get a prior authorization for Cigna?
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.
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How to obtain prior authorization?
How To Get Prior Authorization: Step-by-Step Guide Step 1: Check client eligibility. Step 2: Determine if a code or service requires Prior Authorization. Step 3: Find and complete forms. Step 4: Submit a PA request. Step 5: Check the status of an authorization.
Related links
Cigna PPO Plan Summary 2025
Jan 1, 2025 Pre-Certification - Preferred Care Management Outpatient Prior Authorization - required for selected outpatient procedures and diagnostic
Prior Authorization Request Form for Health Care Services
Intended use: When an issuer requires prior authorization of a health care service, use this form to request the authorization by mail. An issuer may also
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