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Get Cigna Sleep Study Precertification Request Form 2013-2025
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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.
- Click ‘Get Form’ button to access the Cigna Sleep Study Precertification Request Form.
- 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.
- Provide the ordering physician's information. Fill in the physician's name, address, contact numbers, and NPI as this is a required field.
- 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.
- 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.
- 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.
- 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.
- List any special needs the patient may have, including occupational or social limitations and alternate languages spoken.
- Provide a comprehensive list of the patient's current medications, including over-the-counter medications, as well as any relevant categories of medications.
- 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.
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.
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