Cigna healthspring referral forms

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Generally the referral requirements are:. All Cigna health plans have adopted an "open access" policy for women's health care.

PCPs are responsible for providing a written referral to the specialty-care physician, and for noting the referral in the patient's medical record. Did you know that lab fees could be one of the biggest drivers of your patients' health care costs? All rights reserved. All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative.

This website is not intended for residents of New Mexico. Selecting these links will take you away from Cigna. Cigna may not control the content or links of non-Cigna websites. Referrals We take on the administrative burden so you can focus on getting patients the care they need, and get paid in a timely manner.

Search for in-network providers There are exceptions to using the network — some are required by law, while others are pre-approved by Cigna before you refer or treat the patient. Provider Resources. Home Forms and Practice Support. Policy Summary — July If prior authorization cannot be obtained timely, be sure to notify Cigna or the delegated UM agent and the appropriate participating provider as soon as possible but no later than 24 hours after ordering or providing the covered service, or on the next business day.

Check prior authorization requirements regularly and prior to delivering planned services at MedicareProviders. Admission Notifications Admission notification for emergent or urgent admission is required within 24 hours of admission or next business day, whichever was later, even when the admission was prescheduled. Open the file in your PDF viewer application to fill out the form and submit your request.