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  • Cigna Hipaa Authorization Form

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Information Requested from Records Maintained by CIGNA HealthCare ... I request the information checked above for my CIGNA HealthCare Medical benefits. ... To safeguard your privacy and help make.

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Exceptions include employer-funded group health plans with less than 50 participants, and government-funded health centers. Also excluded as a covered entity are automobile insurance companies, workers compensation plans, and liability insurance plans.

Cigna creates records about you and the treatment and services we provide to you. The information we collect is called Protected Health Information (PHI). We take our obligation to keep your PHI secure and confidential very seriously.

Cigna complies with HIPAA and is committed to helping providers integrate HIPAA regulations into their business practices.

The following services are excluded from coverage regardless of clinical indications; â–ª Macromastia or Gynecomastia Surgeries; â–ª Surgical treatment of varicose veins; â–ª â–ª Rhinoplasty; â–ª Blepharoplasty; â–ª Redundant skin surgery; â–ª Removal of skin tags; â–ª Acupressure; â–ª Craniosacral/cranial therapy; â–ª Dance therapy, ...

The Third Party Management Program applies to those suppliers or entities performing specific services on Cigna's behalf. The goal of the Third Party Management Program is to ensure that our customers, members, and/or providers receive a comparable level of service, as though received from Cigna directly.

If you are unable to use electronic prior authorization, you can call us at 800.88Cigna (882.4462) to submit a prior authorization request. For Inpatient/partial hospitalization programs, call 800.926.2273. Submit the appropriate form for outpatient care precertifications. Visit the form center.

Why does my health insurance company need a prior authorization? The prior authorization process gives your health insurance company a chance to review how necessary a medical treatment or medication may be in treating your condition. For example, some brand-name medications are very costly.

We call the entities that must follow the HIPAA regulations "covered entities." Covered entities include: Health Plans, including health insurance companies, HMOs, company health plans, and certain government programs that pay for health care, such as Medicare and Medicaid.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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