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 |
|
| 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. | ||
|
Provider Resources: Web Portal Support: |
Clinical Support/Program |
Clinical Guidelines: Educational Materials: |
|
Medical Oncology and Radiation Therapy |
For precertification, clinical support, or customer service, contact below or go online to eviCore.com. | ||
|
Medical Oncology: Clinical Guidelines: |
Radiation Therapy: Clinical Guidelines: Educational Materials: |
Clinical Support/Program Inquiries: Web Portal Support: |
|
| 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. | ||
|
Provider Resources: |
Clinical Guidelines: Educational Materials: |
Clinical Support/Program Inquiries: Web Portal Support: |
|
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: |
||
Pharmacy |
For Prior Authorization requests, use one of the following: | ||
|
CoverMyMeds: |
2022 Medicare Advantage Drug Formulary: |
||
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 |
||
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. |
||
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 |
||
Compliance |
To report potential fraud, waste, or abuse please contact us in one of the following ways: | ||
|
Mail: |
Email: Phone: 1 (800) 667-7145 |
||