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                Get Cigna Prompt Pa
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How to fill out the Cigna Prompt Pa online
Completing the Cigna Prompt Pa form accurately is essential for a smooth prior authorization process. This guide provides user-friendly, step-by-step instructions to help you fill out the form correctly.
Follow the steps to complete the form successfully.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
 - Begin by filling out the provider information section. Provide the provider's name, specialty, NPI, DEA, or TIN, and the office contact person’s name and phone number.
 - Next, complete the patient information section. Include the patient's name, Cigna ID, date of birth, street address, city, state, zip code, and phone number.
 - Indicate whether your fax machine is kept in a secure location and affirm if you would like the response faxed to your office.
 - In the medication requested section, check all relevant options for the medications being requested, and specify the dose and frequency of the medication.
 - Provide information on the expected duration of treatment and the J-Code associated with the requested medication.
 - Indicate where the medication will be obtained from, selecting the appropriate option.
 - In the clinical data section, specify the diagnosis related to the medication use and answer questions about any co-infections.
 - For Hepatitis C requests, answer additional questions about the patient's genotype and medical history.
 - Complete the lab values section, providing the necessary quantitative HCV RNA values and treatment phases.
 - Finish by reviewing all the information provided, ensuring that all required sections marked with an asterisk are complete.
 - Once all fields are filled, save your changes. You may then choose to download, print, or share the completed form as needed.
 
Start completing the Cigna Prompt Pa form online today!
Sending a prescription electronically to Express Scripts through Cigna Prompt Pa is simple and efficient. Your healthcare provider can send the prescription directly to Express Scripts using their electronic medical record system. Be sure to confirm with your provider that they have your correct Express Scripts information. This method speeds up the process of receiving your medication and minimizes unnecessary delays.
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