![]() That insure or administer group HMO, dental HMO, and other products or services in your state). Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. 2 The following services can be appealed.įind an in-network doctor, dentist, or facility If our Customer Service team cannot adjust the issue during that call, then our appeal process can be initiated through a written request. Many issues, including denials related to timely filing, incomplete claim submissions, and contract and fee schedule disputes may be quickly resolved through a real-time adjustment by providing requested or additional information. Most claim issues can be remedied quickly by providing requested information to a claim service center or contacting us.īefore beginning the appeals process, please call Cigna Customer Service at 1(800) 88Cigna (882-4462) to try to resolve the issue. The payment appeal process is different from routine requests for follow-up inquiries on claim processing errors or missing claim information. Following the internal Cigna process, arbitration may be used as a final resolution step.For claim denials relating to claim coding and bundling edits, a health care provider may have the option to request binding external review through the Billing Dispute Administrator.An appeal process for resolving contractual disputes regarding post-service payment denials and payment disputes 1.If issues cannot be resolved informally, Cigna offers two options: ![]() ![]() Cigna strives to informally resolve issues raised by health care providers on initial contact whenever possible.
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