Medicare Advantage
PROVIDER QUICK REFERENCE GUIDE
General Information |
Provider Customer Service: Provider Website: |
Provider Manual: ID Card Examples: |
Provider Portal: 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 |
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| For questions concerning Supplemental Benefits, call Provider Customer Service: 1 (800) 230-6138 | |||
High-Technology Radiology and Diagnostic Cardiology |
For precertification, clinical support or customer service, contact below or go online to Evicore.com. | ||
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Provider Resources: Web Portal Support: |
Clinical Support/Program |
Clinical Guidelines: Educational Materials: |
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Medical Oncology and Radiation Therapy |
For precertification, clinical support, or customer service, contact below or go online to Evicore.com. | ||
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Medical Oncology: Clinical Guidelines: |
Radiation Therapy: Clinical Guidelines: Educational Materials: |
Clinical Support/Program Inquiries: Web Portal Support: |
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| Educational Materials: Evicore.com > Resources > Healthplan > Cigna-Medicare > Medicare Oncology FAQs | |||
Musculoskeletal Procedures |
For precertification, clinical support, or customer service, contact below or go online to Evicore.com. | ||
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Provider Resources: |
Clinical Guidelines: Educational Materials: |
Clinical Support/Program Inquiries: Web Portal Support: |
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Prior Authorizations |
For prior authorizations, access our interactive Prior Authorization Requirements (a searchable reference guide updated quarterly 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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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 Quick Reference Guide at: MedicareProviders.Cigna.com > Forms and Practice Support 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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Pharmacy |
Pharmacy - Part D Prior Authorization Requests: Covermymeds.com (Preferred method) |
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