Get Physician's Statement - Cigna

Filling out the Physician's Statement - Cigna online is a crucial step in the claims process for disability benefits. This comprehensive guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and effectively.

Follow the steps to complete the Physician's Statement - Cigna online.

1. Click ‘Get Form’ button to access the form and open it in your preferred digital format for editing.
2. Begin by completing the section designated for the patient/insured. Provide details such as the patient's name, employer's name, address, social security number, city, state, telephone number, ZIP code, group policy number, occupation, and date of birth.
3. The remaining sections must be filled out by the treating physician(s). The first part requires a diagnosis. Ensure you include the specifics such as the diagnosis name, subjective symptoms, and objective findings. Attach any relevant medical documentation.
4. Document the dates of treatment. Include the date the patient first visited, the date they became unable to work, and the date of the last visit, along with the frequency of examinations related to the illness or accident.
5. Specify the nature of treatment. This includes any hospitalizations, surgeries performed, and prescribed medications. Provide the name and address of the hospital if applicable.
6. Evaluate physical limitations based on the patient's ability to perform certain tasks within an eight-hour workday. Indicate the maximum level of ability regarding lifting, carrying, pushing, and pulling.
7. If applicable, document any mental impairments by filling out the designated axes. Include any additional comments that may be relevant to the claim.
8. Clarify the return to work status of the patient, including when they were able to resume work, the regular occupation, and any other occupations.
9. Maintain a section for remarks, and make sure the physician provides their name, degree and specialty, address, telephone number, federal tax ID number, signature, and the date completed.
10. Once all necessary fields are filled out completely, save any changes made to the document. You may also choose to download, print, or share the completed form as needed.

Complete your Physician's Statement - Cigna online today for a smooth claims process.