Medicare Advantage
PROVIDER QUICK REFERENCE GUIDE
General Information |
Provider Customer Service: 1 (800) 230-6138 Provider Website: MedicareProviders.Cigna.com Provider Manual: 2022 Provider Manual [PDF] ID Card Examples: 2022 Provider Manual [PDF] > Customer Identification Cards |
Provider Portal: HSConnectOnline.com ICD-10 Coding & Documentation/ |
Ancillary Services/Supplemental Benefits |
Outpatient Laboratory Services: LabCorp Quest Diagnostic Laboratories |
Behavioral Health Substance Abuse (Authorizations) Call: 1 (866) 780-8546 Fax: 1 (866) 949-4846 |
| For questions concerning Supplemental Benefits, call Provider Customer Service: 1 (800) 230-6138 | ||
eviCore Precertification by Service Line |
For provider resources or customer service: Provider Resources www.eviCore.com/Resources/Healthplan/Cigna-Medicare Clinical Guidelines: www.eviCore/com/Provider/Clinical-Guidelines Web Portal Support: Non-Precertification Inquiries: |
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High-Technology Radiology and Diagnostic Cardiology |
For precertification, go online to eviCore.com or use the contact information below. | |
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Clinical Support/Program Inquiries: |
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Medical Oncology and Radiation Therapy |
For precertification, go online to eviCore.com or use the contact information below. | |
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Medical Oncology: |
Radiation Therapy: |
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Musculoskeletal Procedures |
For precertification, go online to eviCore.com or use the contact information below. | |
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Provider Resources: |
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Post-Acute Care (PAC) and Home Health Care (HHC) |
For precertification, go online to eviCore.com/ep360 or use the contact information below. | |
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Clinical Support/Program Inquiries: |
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Durable Medical Equipment (DME) |
For precertification contact below or go online to eviCore.com. | |
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Call: 1 (866) 686-4452 |
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Prior Authorizations |
For prior authorizations, access our interactive Prior Authorization Requirements (a searchable reference guide updated quarterly) at MedicareProviders.Cigna.com > Forms and Practice Support > Prior Authorization Requirements. To search the Prior Authorization guide for a code, enter Ctrl+F > the 5-digit code. Find PA forms at MedicareProviders.Cigna.com > Forms and Practice Support > Prior Authorization Requirements. To submit a Prior Authorization request: |
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Pharmacy |
For Prior Authorization requests, use one of the following: | |
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CoverMyMeds: |
2022 Medicare Advantage Drug Formulary: |
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Referrals |
HMO referrals vary by plan. PPO plan referrals are not required. Referrals for specialists can be obtained through our HSConnect Provider Portal. To register for HSConnect visit: HSConnectOnline.com/Login To contact the HSConnect Help Desk call: 1 (866) 952-7596 | Email: HSConnectHelp@HSConnectOnline.com |
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Patient Evaluations |
To evaluate patient eligibility for a patient support program, access our Patient Support Programs: MedicareProviders.Cigna.com > Patient Support Programs To learn more about a program, or request a patient eligibility evaluation, email CignaRefer_Help@Cigna.com. |
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Claims Processing |
Claims questions: 1 (800) 230-6138 | Appeals questions: 1 (800) 511-6943 | Fax: 1 (800) 931-0149
Paper Claims: Cigna Medicare Advantage, PO Box 981706, El Paso, TX 79998 |
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Compliance |
To report potential fraud, waste, or abuse please contact us in one of the following ways: | |
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Mail: |
Email: Phone: 1 (800) 667-7145 |
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