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  • Cigna Sleep Study Precertification Request Form 2013

Get Cigna Sleep Study Precertification Request Form 2013-2025

Leep ___ Insomnia ___ Choking or gasping during sleep ___ Nocturia ___ Frequent unexplained arousals ___ CARECENTRIX – CIGNA SLEEP MANAGEMENT PROGRAM 10/2/2013 Page 1 of 2 SLEEP STUDY PRECERTIFICATION REQUEST FORM cigna.sleepccx.com Phone: 877.877.9899 Fax: 866.536.5225 B. Co-morbid conditions (Recent supporting office notes required) Moderate to severe pulmonary disease /hypertension____ Uncontrolled CHF (Class III or IV) ____ Uncontrolled significant, persistent cardiac arrhythmia ___.

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How to fill out the Cigna Sleep Study Precertification Request Form online

Filling out the Cigna Sleep Study Precertification Request Form accurately is essential for obtaining the necessary precertification for sleep-related services. This guide will provide you with clear, step-by-step instructions to assist you in completing the form online.

Follow the steps to complete the form accurately and efficiently.

  1. Click ‘Get Form’ button to access the Cigna Sleep Study Precertification Request Form.
  2. Enter the patient's personal information in the designated fields. This includes the patient’s name, Cigna ID, address, date of birth, and contact numbers.
  3. Provide the ordering physician's information. Fill in the physician's name, address, contact numbers, and NPI as this is a required field.
  4. Specify the study requested by checking the appropriate box for either an unattended home sleep test or a facility diagnostic sleep test. If applicable, indicate whether a home study may be substituted.
  5. For repeat studies, indicate any relevant changes in the patient's condition, enter the date of the last study, and provide reasons for the repeat study if applicable.
  6. Select whether the study requires a preferred provider or sleep lab facility, and fill in their details. Specify the patient’s delivery preference for the home sleep test.
  7. In the clinical information section, check all applicable symptoms, co-morbid conditions, and suspected sleep disorders. Complete the required Epworth Sleepiness Score by choosing the most appropriate number for each situation.
  8. List any special needs the patient may have, including occupational or social limitations and alternate languages spoken.
  9. Provide a comprehensive list of the patient's current medications, including over-the-counter medications, as well as any relevant categories of medications.
  10. Once all fields are filled out completely, review the form for accuracy, save any changes made, and then download, print, or share the completed form as needed.

Complete the Cigna Sleep Study Precertification Request Form online to ensure a smooth precertification process.

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Uploading a wellness form to Cigna is a straightforward process. Log in to your Cigna account and navigate to the claims section, where you will have the option to upload documents. Be sure to include your completed Cigna Sleep Study Precertification Request Form, as this will help facilitate your wellness claims efficiently.

To submit a claim for reimbursement to Cigna, begin by completing the required claim form, which you can find on their website. If your claim involves wellness expenses, ensure you include your Cigna Sleep Study Precertification Request Form and any supporting documents. Sending your claim online is often the fastest option, and Cigna will process your reimbursement promptly.

Filing a wellness claim with Cigna involves submitting the proper forms and documentation related to your wellness activities. First, complete your Cigna Sleep Study Precertification Request Form as needed, and then gather receipts for your wellness expenses. You can file your claim by sending it via mail or using Cigna’s online portal for quicker processing.

Yes, Cigna insurance offers a wellness program aimed at promoting better health among its members. This program provides resources such as health assessments, coaching, and discounts on health-related services. By utilizing the Cigna Sleep Study Precertification Request Form, you can take steps toward improving your sleep health as part of this comprehensive wellness initiative.

A Cigna wellness incentive is a reward designed to encourage you to engage in healthier lifestyle choices. These incentives may include discounts on health insurance premiums, gym memberships, and other wellness-related activities. To make the most of these incentives, consider using the Cigna Sleep Study Precertification Request Form to facilitate your health assessments.

The Medicare precertification phone number varies, but you can usually contact Cigna’s customer support for assistance. When dealing with Medicare, be sure to have your Cigna Sleep Study Precertification Request Form on hand to expedite the process. They can direct you to the right resources for your needs.

The number 1 800 253 7052 is the Cigna customer service line. You can call this number to get assistance with your Cigna Sleep Study Precertification Request Form. Representatives can help you understand the precertification process and provide the information you need.

The number 1-800-244-6224 is another contact line for Cigna, typically used for customer service inquiries. For matters specifically related to the Cigna Sleep Study Precertification Request Form, you may want to use the dedicated precertification number for a more direct response. This helps you receive focused support regarding your needs.

Cigna does provide coverage for sleep apnea studies, but it is essential to confirm that you meet the specific criteria. Submitting the Cigna Sleep Study Precertification Request Form with appropriate medical documentation is crucial. This will help facilitate the authorization process and ensure that you receive the necessary benefits.

Yes, you can submit Cigna claims online through their provider portal. Utilizing the portal can streamline your submissions, including any related to the Cigna Sleep Study Precertification Request Form. By opting for online submissions, you may also track the status of your claims efficiently.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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