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MEDICARE INFORMATION AND TOOLS FOR HEALTH CARE PROVIDERS

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Welcome

We want to partner with you to provide care for our customers. On this page you will find useful information and tools to assist in that goal. We share your commitment for better health for your patients.

View our Quick Reference Guide for access to the resources you need.

Prior Authorization

Cigna requires prior authorization (PA) for some procedures and medications in order to optimize patient outcomes and ensure cost-effective healthcare for our customers.

We want to make it as easy as possible to submit the correct prior authorization (PA) request for your patients. Access the 2019 Guide

Attention Providers

Alabama Provider Notice – The state of Alabama has issued a State of Emergency for ALL counties effective 02/18/2020 in response to severe flooding.

Mississippi Provider Notice – The state of Mississippi has issued a State of Emergency for several counties effective 02/16/2020 in response to severe weather and flooding.

Mississippi Provider Notice – The state of Mississippi has issued a State of Emergency for several counties effective 01/12/2020 in response to severe weather.

Arkansas Provider Notice – The state of Arkansas has issued a State of Emergency for Lonoke County effective 01/11/2020 in response to severe weather.

Key Resources

HSConnect Online Portal

The tools you need in a secure environment.

Stay Informed

Update your provider information, receive the latest regulatory changes
and more.

Misdirected Claims

Understand the proper claim submission process.

Guide to Your Explanation of Payment

View our new enhanced Explanation of Payment (EOP).

Find Providers

Access our online Health Care Provider Directory.

Get Drugs Approved

Find the forms you need for easier drug prior authorization and coverage determination requests.

Submit your Prior Authorization online: please login to www.Covermymeds.com and create a free account.

Health Care Provider Forms

Interested in joining Cigna? Get medical authorization request forms and interest forms for your area.

Other Resources

Clinical Practice Guideline

Access evidence based clinical practice guidelines for healthcare decision-making that targets specific clinical circumstances.

Behavioral Health Information

Find out more about our Individualized and Integrated Behavioral Health Solutions.

Pharmacy Information

Express Scripts and Accredo are now Cigna Medicare Pharmacy Partners. Accredo Specialty Drug List

ICD-10 Information

Stay compliant with ICD-10 coding and documentation information for Cigna Health Care Providers.

Guide to Your Explanation of Payment

View our new, enhanced Explanation of Payment (EOP) effective April 30, 2019.  The new design offers simpler navigation saving your staff time. 

Cigna Medicare Advantage Network Insider

Check out our interactive online magazine for articles, videos and detailed information.

Retrospective Review Requirements

See our Retrospective Review Requirements for Cigna Medicare Advantage.