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Coverage and Claims

We take on the administrative burden so you can focus on getting patients the care they need, and get paid in a timely manner.

Prior Authorizations

Request a specific medication or care for a patient.

Coverage Policies

Get assistance interpreting standard health coverage plan provisions.

Claims

Guides to setting up clean claims and timely filing.

Payments

How to set up direct deposits and handle overpayments.

Referrals

In-Network and Out-of-Network referral details.

ID Cards [PDF]

A tool to define and clarify information that appears on Cigna's most common customer ID cards.

Appeals and Disputes

Policy and procedures to resolve claims disputes.

HIPAA Transaction Standards

Protecting our customers' confidential information and simplifying health care administration.

Questions? We're here to help.

If you have any questions or would like more information about participating in a Cigna health care network, please contact us.

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Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

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