provide all the information on this form. When making referrals, please use the online directories at Cigna.com/hcpdirectory or Cigna.com/ifp-providers to find participating physicians, hospitals, and other health care providers. If you have questions, call Cigna Customer Service at …
provide all the information on this form. When making referrals, please use the Cigna.com/hcpdirectory online directory to find participating physicians, hospitals, and other health care professionals. If you have questions, please call Cigna Customer Service at 1.866.494.2111. * Most Connect and Cigna SureFit plans require referrals.
Health Care Provider Referrals | Cigna Healthcare
In that case, please use the Physician Referral Form [PDF]. PCPs are responsible for providing a written referral to the specialty-care physician, and for noting the referral in the patient's medical record. Specialty care providers also must note the referral in the patient's record.
› Calling Cigna Customer Service at 1.866.494.2111, choose the prompt for specialist referral Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company or their affiliates.
Cigna Dental Specialty Referral Form. I understand that only those services which meet Cigna Dental Care referral guidelines will be authorized for payment. Certain procedures may require a patient payment in accordance with the applicable Patient Charge Schedule for the group.
case management referral form If your patient with CIGNA-administered medical coverage is suddenly faced with a complex medical condition, our case management team can help.
CHCP - Resources - Referrals - Cigna
How to submit referrals to Cigna. There are multiple options for PCPs to submit referrals to Cigna: Online: Health Care Request and Response (ANSI* 278): Contact your electronic data interchange (EDI) or practice management system vendor ; Phone: 1.866.494.2111. choose the prompt for specialist referral. Fax: 1.866.873.8279. Obtain a referral form.
CHCP - Resources - Medical Forms - Cigna
Feb 3, 2015 · Physician Referral Form: Online Resource--03/06/2017: Precertification Form Cervical Fusion or Cervical Disc Replacement: PDF: 292kB: 03/01/2022: Precertification Form Lumbar Fusion: PDF: ... Submit a Referral to Cigna for Specialty Care: PDF: 47 KB: 02/09/2021: UB-04: Online Resource--02/03/2015: Document Title Document Type Document Size
This form is designed to help ensure that your patients with Cigna Healthcare coverage have the necessary information to make an informed decision about their medical benefits and care.
CHCP - Resources - PCP Referrals for Specialty Care - Cigna
Obtain the PCP’s written referral from the patient OR Call Cigna Customer Service at 1.866.494.2111; choose the prompt for specialist referral (option 4). To obtain a referral form, go to the Cigna for Health Care Professionals website (CignaforHCP.com) > Find a Form > Medical Forms. Health Care Request and Response (ANSI 278) Fax or U.S. mail