MEDICARE ADVANTAGE PROVIDER QUICK REFERENCE GUIDE
Key Resources
Provider Customer Service: 1-800-230-6138 | Provider Website: MedicareProviders.Cigna.com
Provider Manual: MedicareProviders.Cigna.com > Provider Manual
ICD-10 Coding & Documentation/360 Comprehensive Assessment > MedicareProviders.Cigna.com/ICD-10
Eligibility Verication /
Co-Payment Information
Customer Service: 1-800-668-3813 | Provider Portal: HSConnectOnline.com/login
Ancillary Services /
Supplemental Benets
OUTPATIENT LABORATORY
SERVICES
LabCorp | Call: 1-888-522-2677
Quest Diagnostic Laboratories
Call: 1-866-697-8378
BEHAVIORAL HEALTH/
SUBSTANCE ABUSE
(Please call for authorizations)
Call: 1-866-780-8546
Fax: 1-866-949-4846
POST HOSPITAL
MEAL BENEFIT
Available to patients
post-discharge from an
acute inpatient stay
Call GA Foods: 1-866-481-2721
For questions concerning Supplemental Benets, please call Provider Service | Call: 1-800-230-6138
High-Technology
Radiology and Diagnostic
Cardiology Services
Please call at numbers below for Precertication or go online to: Evicore.com
RADIATION THERAPY:
Call: 1-866-686-4452
Fax: 1-800-540-2406
RADIOLOGY/CARDIOLOGY:
Call: 1-888-693-3211
Fax: 1-888-693-3210
PROVIDER RESOURCES:
Evicore.com/Resources/HealthPlan/Cigna-Medicare
WEB PORTAL SUPPORT EMAIL:
Portal.Support@Evicore.com
CUSTOMER SERVICE:
ClientServices@Evicore.com
Prior Authorization
Prior Authorization must be obtained for the following services: Inpatient and Elective Admission Notication,
Home Health Care, DME and Outpatient Services.
For requirements, visit MedicareProviders.Cigna.com > Prior Authorization
Prior Authorization can be obtained through HS Connect Provider Portal: HSConnectOnline.com/Login
or by calling Provider Customer Service at: 1-800-230-6138
Referrals
HMO referrals vary by plan. PPO plan referrals are not required.
Referrals for specialists can be obtained through our HS Connect Provider Portal.
To register for HSConnect visit: HSConnectOnline.com/Login
To call or email the HSConnect Help Desk: 1-866-952-7596 | HSConnectHelp@HSConnectOnline.com
Claim Processing
Claims questions: 1-800-230-6138 | Appeals questions: 1-800-511-6943 | Fax: 1-800-931-0149
Electronic claims may be submitted through:
• Change Healthcare/Availity (Payor ID: 63092 or 52192)
• SSIGroup/Proxymed/Medassets/Zirmed/OfceAlly/GatewayEDI (Payor ID: 63092)
• Relay Health (Professional claims CPID: 2795 or 3839, Institutional claims CPID: 1556 or 1978)
Mail Paper Claims to: Cigna Medicare Advantage, PO Box 981706, El Paso, TX 79998
Mail Appeals to: Cigna Medicare Advantage Appeals, PO Box 24087, Nashville, TN 37202
Mail Reconsideration Requests to: Cigna Medicare Advantage Reconsiderations
PO Box 20002
Nashville, TN 37202
Compliance
To report potential fraud, waste, or abuse please contact Cigna Medicare Advantage’s Special Investigations Unit
By mail: Cigna Medicare Advantage
Attn: Special Investigations Unit
PO Box 20002, Nashville, TN 37202
By email: SpecialInvestigat[email protected]
Attn: Cigna Medicare Operations
By phone: 1-800-667-7145
Pharmacy
PHARMACY – PART D
Prior Authorization Requests: CoverMyMeds.com (Preferred method)
Formulary Website: Cigna.com/Medicare/Resources/Drug-List-Formulary | Fax: 1-866-845-7267
Forms: Cigna.com/Medicare/Resources/Drug-Search | Questions? Call: 1-877-813-5595
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other Cigna marks are owned by Cigna Intellectual Property, Inc. © Cigna 2019 931728 a INT_20_83399_C
