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How to fill out the Cigna Medical Claim Form - BNSF.com online
Completing the Cigna Medical Claim Form is a crucial step in managing your healthcare benefits. This guide provides a comprehensive overview and step-by-step instructions on how to fill out the form online efficiently.
Follow the steps to complete the Cigna Medical Claim Form.
- Click ‘Get Form’ button to obtain the Cigna Medical Claim Form and open it in the editor.
- Begin by filling out the employee information section, which includes the employee’s name, date of birth, mailing address, daytime phone number, marital status, division/branch, policy/account number, and Social Security or ID number.
- If the patient is different from the employee, complete the patient information section, detailing the patient's name, relationship to the employee, date of birth, sex, and address.
- If applicable, provide details about any accident or occupational illness. Fill in the description of the accident or illness, the date it occurred, and if it is related to employment or an auto accident.
- Include family or other coverage information if the claim is for a dependent. This section requires information about the spouse and any other insurance coverage the patient may have.
- In the employee's/patient's signature and release section, ensure that the employee signs the form to authorize information release and payment directly to healthcare providers as needed.
- Complete the physician or provider section, which includes a description of services, diagnosis codes, and charges for medical services rendered.
- Review all sections for completeness and accuracy, then save the form. You can also download, print, or share the completed document as needed.
Complete your claims online to ensure your medical expenses are processed promptly.
Typically, you must submit claims to Cigna within 90 days of receiving your medical services. The claims must be submitted through Cigna Medical Claim Form - BNSF to ensure timely handling. It is advisable to file your claims as soon as possible to avoid any potential issues. Be sure to check specific guidelines, as some circumstances may alter this timeframe.
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