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E and distribution limited solely to authorized personnel. Copyright 2009 CIGNA. Claim Appeal Process Course Introduction This course will introduce you to the CIGNA claim appeal process and guide you in determining when and how to submit a claim appeal to CIGNA. 2 Claim Appeal Process Preventing Claim Denials and Payment Disputes There are steps you can take in advance of providing service to reduce the potential for a claim denial or payment error. Step 1: Verify Coverage Call CIGNA.

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Steps to submit a request or check the status of a request: Log in to CignaforHCP.com. Click on the request type below to be taken directly to the steps for that request type. o Steps to submit a claim reconsideration or appeal request. ... o Steps to appeal a precertification decision.

Steps to submit a request or check the status of a request: Log in to CignaforHCP.com. Click on the request type below to be taken directly to the steps for that request type. o Steps to submit a claim reconsideration or appeal request. ... o Steps to appeal a precertification decision.

Your first appeal must be initiated within 180 calendar days of the date of initial payment or denial. Appeal decisions are made within 30 days of receipt by CIGNA and written notification of the decision is sent to you via letter or EOP.

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.

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.

Corrected claims can be resubmitted via paper, by entering a “7” for the Resubmission code, and the original claim number as your Original Reference No on box 22 of the CMS 1500 form. The original claim number can be found on the original EOP.

An appeal is a request to change a previous adverse decision made by Cigna. You or your representative (Including a physician on your behalf) may appeal the adverse decision related to your coverage.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232