Get Cigna Predetermination Form

Completing the Cigna Predetermination Form online is a straightforward process that helps ensure your dental and medical services are approved before they begin. This guide provides an easy-to-follow approach to completing each section of the form accurately.

Follow the steps to fill out the Cigna Predetermination Form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin with the provider information section. Enter the details of the healthcare provider, including their name, address, and contact information. This information is crucial for the review process.
3. Next, navigate to the patient information section. Fill in the patient's full name, date of birth, and insurance identification number. Ensure that this information matches what Cigna has on file.
4. Proceed to the treatment information section. Clearly outline the treatment being requested and any corresponding dates. Be specific about the services to facilitate a timely decision.
5. In the additional comments section, add any relevant information that might support your request for predetermination. This could include medical history or specific circumstances related to the treatment.
6. Once all fields are accurately completed, review the form for any errors or missing information. It's essential to ensure everything is correct before submission.
7. Finally, save your changes, and choose to download, print, or share the form as needed to complete the submission process.

Take the time to fill out your Cigna Predetermination Form online today!