ARIZONA REGION
Information for health care providers can be found in your Cigna Medicare Advantage Provider Manual [PDF]. This information is regularly updated to give you the resources you need.
ELIGIBILITY
Claimstat Managed Care Information System
AUTHORIZATIONS
Access Prior Authorization Guidelines and PA Request Forms
CLAIMS, APPEALS, AND DISPUTES
Claimstat (Online Portal)
Experience the ease of Claimstat: your online solution for eligibility verification and claims payment review.
Call: 1 (855) 944-3037 Option 4
Email: support@avidityhcs.com
Claims Processing
Claims and Appeals questions: Phone: 1 (800) 627-7534 | Fax: 1 (800) 731-3463
Electronic claims may be submitted through: www.claimstatmcis.com | Use Payor ID: 62308
Mail claims and disputes to:
Cigna Medicare Advantage
PO Box 38639
Phoenix, AZ 85069
Submit disputes via Fax: 1 (800) 731-3463
Medicare Appeals Process
Mail appeals to:
Cigna Medicare Appeals
PO Box 188081
Chattanooga, TN 37422
Submit appeals via Fax: 1(855) 350-8671
Members and Representatives
Contracted Providers
Non-Contracted Providers
Non Contracted Provider Dispute:
- A disagreement about the amount that a non-contracted provider could have collected if the beneficiary were in original Medicare.
Non-Contracted Provider Appeal:
- The process used when a party (for example, a patient, provider, or supplier) disagrees with an initial health care items or services determination or a revised determination. If the plan is denying or recouping part or all of a payment for which the non-contracted provider asked, such as for DRG coding, clinical validation, inpatient level of care determination, bundling rules, or emergency facility charges, the plan must issue an appealable organization determination. Appeals (reconsiderations) from a non-contracted provider must follow the regulations outlined at 42 CFR §422 Subpart M.
- Non-Contracted Provider Appeals and Disputes Form - Arizona Providers
CODING AND DOCUMENTATION
Access Provider Education Information
360 ANNUAL WELLNESS EXAM
Access 360 Annual Wellness Exam Information
FORMS
Access Forms and Practice Support Materials
HEALTH CARE PROVIDER INFORMATION
- 2022 Regulatory Highlights Guide – Arizona Providers Only
- 2022 Medicare Advantage Benefits Overview ‐ Phoenix [PDF]
- 2022 Medicare Advantage Benefits Overview ‐ Tucson [PDF]
- External Partner Resources
- Special Needs Model of Care (SNP-MOC) Training
- Patient Support Programs
- Quick Reference Guide and ID Cards of Arizona [PDF]
- Urgent Care Centers – Maricopa [PDF]
- Urgent Care Centers – Pima [PDF]