Get To Download A Copy Of The Claim Form - Cigna

Navigating insurance claims can be complex, but downloading the claim form for Cigna is a straightforward process. This guide will provide you with clear, step-by-step instructions to ensure you complete the claim form correctly and efficiently.

Follow the steps to download and fill in the claim form.

1. Press the ‘Get Form’ button to access the claim form and open it in your preferred editor.
2. Complete Section A: Patient’s Details. Fill in your full name, employee’s name (if different), customer ID number, and your relationship to the employee. Include your date of birth and your full mailing address.
3. Provide the full name of the employer and state the nature of your illness. Indicate when the symptoms first occurred or when the condition was diagnosed.
4. If applicable, specify if you are eligible for reimbursement from another insurer. If yes, provide details of the other insurance, including the name, address, and policy number.
5. Advance to Section B: Payment Details. List the expenses for which you are seeking reimbursement, including the amount and currency.
6. State the preferred recipient for the settlement payment and detail the treatment dates and payment recipient.
7. Select your payment method from the options available, which include cheque, ePayment Plus, or bank transfer. Note that for bank transfer, you must enroll via a specified website.
8. Indicate the currency in which you would like the reimbursement to be processed, providing IBAN and SWIFT codes if applicable.
9. If payment is to be directed to your bank account, fill in your bank account number, bank name, sort code, bank branch address, and the relevant codes.
10. Authorize the release of any necessary medical information and sign the declaration to confirm that all provided details are accurate.
11. Complete the consent section, indicating your preferences regarding the request for a medical report.
12. Finalize your documentation, ensuring all sections are complete, and save your changes. You may then download, print, or share the completed form as needed.

Download your claim form online today to simplify your reimbursement process.