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  • Request For Health Care Professional Payment Review Form - Cigna

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Request for Health Care Professional Payment Review BEFORE PROCEEDING, NOTE THE FOLLOWING: - Corrected claims should be submitted to the claim address on the back of the patient s Cigna identification.

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Well-established company: Cigna is one of the best-known health insurance companies in the United States. Large network of physicians: Cigna has more than 500,000 physicians and more than 8,000 hospitals in its network. Low-cost coverage: Consumers can choose among a variety of plans, including low-cost offerings.

Call Customer Service at the number on your Cigna ID card. If customer service is unable to resolve your concern, ask the representative how to appeal. If you are not satisfied, we will provide information on other options that may be available.

Corrected claims can be resubmitted via paper, electronically through a clearing house or Cigna-HealthSpring Claims Portal.

Typically within 5-10 business days of hearing from your doctor, your health insurance company will either approve or deny the prior authorization request. If it's rejected, you or your doctor can ask for a review of the decision.

First-Level Appeal This is the first step in the process. You or your doctor contact your insurance company and request that they reconsider the denial. Your doctor may also request to speak with the medical reviewer of the insurance plan as part of a peer-to-peer insurance review in order to challenge the decision.

If Cigna decides that they were correct in denying your benefits, then you have one last option. You can file a lawsuit in federal court. You will absolutely want an attorney for this lawsuit as it can be difficult to overturn Cigna's decision in court.

This eliminates delays in postal delivery and data entry time by claims processors. Where paper claims can take 10-15 days to pay, electronic claims typically take only 3-5 days to pay (and can be processed in as quickly as 1-2 days). How do I know if a claim is not processed or is missing information?

Please contact your human resources department for more information. Q: If my claim is approved, when will I get paid? show up in your bank account or 7 10 business days to receive a check in the mail.

Why Submit an Appeal Most claim issues can be remedied quickly by providing requested information to a claim service center or contacting us. Before beginning the appeals process, please call Cigna Customer Service at 1(800) 88Cigna (882-4462) to try to resolve the issue.

Patient name, policy number, and policy holder name. Accurate contact information for patient and policy holder. Date of denial letter, specifics on what was denied, and cited reason for denial. Doctor or medical provider's name and contact information.

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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