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  • General Coverage Determination Form - Cigna

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General Coverage Determination Mail requests to: Fax requests to: Coverage Determination & Exceptions PO Box 20002 Nashville, TN 37202 (866) 8457267 Request by phone: (877) 8135595 FOR PROVIDER.

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Preferred Home Delivery Savings Express Scripts Pharmacy The Express Scripts Pharmacy, 1 of the leading home delivery companies, is Cigna's preferred home delivery pharmacy. Express Scripts home delivery may cost less and makes it easier for you to get your medications.

Prior authorization is designed to help prevent you from being prescribed medications you may not need, those that could interact dangerously with others you may be taking, or those that are potentially addictive. It's also a way for your health insurance company to manage costs for otherwise expensive medications.

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?

Involuntary Disenrollment If you ever feel that you are being asked to leave a Cigna plan because of your health, you should call 1 (800) MEDICARE [1 (800) 633-4227]. TTY users should call 1 (877) 486-2048. You may call 24 hours a day, 7 days a week. We can ask you to leave the plan under certain special conditions.

How to Check Status of a Claim. There are two ways to check the payment status of a claim: Access the Cigna-HealthSpring STAR+PLUS Provider Portal . Speak to a Cigna-HealthSpring STAR+PLUS Representative by calling 1 (877) 653-0331.

Cigna works with eviCore healthcare (eviCore, formerly CareCore | MedSolutions) to provide high-quality, cost-effective services to Cigna customers in most markets for outpatient, nonemergency, high-technology radiology and diagnostic cardiology services.

Decisions are made within two business days of receiving all necessary information. You and your doctor will be notified by phone, email and by U.S. Mail. Cigna receives a request while you are receiving care or in a hospital, skilled nursing facility or rehabilitation facility (concurrent review).

NOTE: Low Dose CT Scan (LDCT) for Lung Cancer Screening is a preventive service benefit under the Medicare Program that requires no referral but authorization is required. DO NOT direct requests for authorization to eviCore as requests are managed by the health plan. Applies to CPT codes G0297 or S8032.

Precertification is required for specified outpatient services for any Cigna administered plan with Personal Health Solutions Plus (PHS+), Health Matters-Complete and Health Matters-Preferred medical management.

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.

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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