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.
Prior Authorization
Cigna-HealthSpring 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.
Attention Providers
Texas Provider Notice - The state of Texas has issued a State of Emergency effective 04/17/2019 for several counties in response to tornado and storm activity.
Mississippi Provider Notice - The state of Mississippi has issued a State of Emergency effective 05/13/2019 for several counties in response to flooding.
Missouri Provider Notice - The state of Missouri has issued a State of Emergency effective 05/21/2019 for several counties in response to flooding, high winds, heavy rain and possible tornados.
Arkansas Provider Notice - The state of Arkansas has issued a State of Emergency effective 05/24/2019 for several counties in response to severe storms and flooding.
Kansas Provider Notice - The state of Kansas has issued a State of Emergency effective 05/30/2019 for several counties in response to tornados, heavy rain, flooding and severe thunderstorms.
Mississippi Provider Notice - The state of Mississippi has issued a State of Emergency effective 07/12/2019 for several counties in response to Tropical Storm Barry.
Florida Provider Notice - The state of Florida has issued a State of Emergency effective 08/28/2019 for several counties in response to Hurricane Dorian.
Tennessee Provider Notice - The state of Tennessee has issued a State of Emergency for Montgomery County effective 10/29/2019 in response to severe weather.
Missouri Provider Notice – The state of Missouri has issued a State of Emergency for several counties effective 11/17/2019 in response to severe weather.
Key Resources
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The tools you need in a secure environment. Update your provider information, receive the latest regulatory changes Understand the proper claim submission process. Guide to Your Explanation of Payment View our new enhanced Explanation of Payment (EOP). |
Access our online Health Care Professional Directory. 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. Interested in joining Cigna-HealthSpring? Get medical authorization request forms and interest forms for your area. |
Other Resources
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-HealthSpring Network Insider
Check out our interactive online magazine for articles, videos and detailed information.
Retrospective Review Requirements
See our Retrospective Review Requirements for Cigna-HealthSpring Medicare Advantage.