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  • Cigna Dental Form Umaine

Get Cigna Dental Form Umaine

HEADER INFORMATION Dental Claim Form Form Information 1. Type of Transaction (Mark all applicable boxes) Statement of Actual Services EPSDT/ Title XIX 2. Predetermination / Preauthorization Number.

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Who we are. Cigna is a global health service company dedicated to helping people improve their health, wellbeing and peace of mind. Cigna has over 74,000 employees who serve more than 170 million customers throughout the world.

As it continues to build out its portfolio of businesses, Cigna is updating the branding for its subsidiaries. The overall holding company will now operate as the Cigna Group, ing to an announcement issued Monday. The new name better reflects the company's broader reach and its ambitions to continue to grow.

In 2021, Molina Healthcare acquired Cigna's Medicaid contracts in Texas for US$60 million. On February 13, 2023, Cigna renamed its holding company The Cigna Group, its health benefits provider business unit Cigna Healthcare, and its Evernorth business unit Evernorth Health Services.

Use Cigna payer ID 62308 for submitting medical, behavioral* dental, and Arizona Medicare Advantage HMO electronic claims.

Appointment of Authorized Representative Form. You may represent yourself, or you may ask another person, including your treating health care provider, to act as your authorized representative. You may revoke this authorization at any time.

To request your 1095-B form, you can: Log in to your myCigna account and download a copy from the Forms Center. Mail a request for statement to: 900 Cottage Grove Road. Bloomfield, CT 06152. Be sure to include your full name, account number, and customer ID or Social Security Number (SSN)

In 2021, Molina Healthcare acquired Cigna's Medicaid contracts in Texas for US$60 million. On February 13, 2023, Cigna renamed its holding company The Cigna Group, its health benefits provider business unit Cigna Healthcare, and its Evernorth business unit Evernorth Health Services.

HCSC will acquire Cigna's Medicare Advantage, Part D, supplemental benefits and CareAllies businesses, and the parties expect the deal to close in the first quarter of 2025.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Bug Bounty Program
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:
+1 833 426 79 33
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