Get State Of Wyoming Cigna Claims Form

Filing a claim using the State Of Wyoming Cigna Claims Form can be a straightforward process if you follow the appropriate steps. This guide provides you with clear instructions to ensure your claims submission is accurate and efficient.

Follow the steps to complete your claim form successfully.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering the subscriber name in the designated field. This should be the name of the individual who holds the insurance policy.
3. Next, fill in the patient name, which refers to the individual receiving the medical treatment.
4. Input the policy number, which is 00052665 in this case, into the appropriate section. It is essential to ensure this number is correct.
5. Provide the subscriber ID number in the specified field, ensuring it reflects the correct identification for the policyholder.
6. Enter the employer's name as 'State of Wyoming' in the corresponding section.
7. The subscriber must then sign the form in the designated signature area, confirming the information provided is accurate.
8. Lastly, date the form in the section labeled 'Dated', indicating when the form was completed.
9. Attach any itemized bills relevant to the claim. This documentation helps in the processing of the claim.
10. After reviewing all the information for accuracy, users can save the changes, and then choose to download, print, or share the completed form as needed.

Complete your claims process online today by following these steps.