cigna third party administrator list
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Cigna third party administrator list

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Andesa Services, Inc. Armada Administrators, LLC. Automated Benefit Services, Inc. Beacon Health Options, Inc. Benafica, LLC. BeniComp, Inc. Bollinger, Inc. Boon Administrative Services, Inc.

Boon Chapman Benefit Administrators, Inc. Chesterfield Resources, Inc. Coforge BPM, Inc. Cognizant Trizetto Software Group, Inc. Concentrix Daksh Services Philippines Corporation. Concentrix Daksh Services Private Limited. Conduent Health Administration, Inc. C ontigo Health, LLC. Core V Solutions, Inc. Covenant Administrators, LLC. CWIBenefits, Inc. Daniel H.

Cook Associates. Davis Vision, Inc. Delta Dental Plan of Michigan, Inc. Dental Benefit Management, Inc. Dental Benefit Providers, Inc. Dickinson Group, LLC. Direct Response Insurance Admin. Diversified Group Brokerage Corp. Envolve Dental, Inc. Envolve Vision Company, Inc. ESIS, Inc. Evernorth Behavioral Health, Inc. First American Administrators, Inc. First Enroll, LLC. Forrest T. Fringe Benefit Group, Inc. Geisinger Indemnity Insurance Company. Genpact Insurance Administration Services, Inc.

Gilsbar, LLC. Group Benefit Services, Inc. Health Plan Systems Services Corp. Health Plans, Inc. Health Special Risk, Inc. Gray St. HealthPlan Services, Inc. Healthplex, Inc. HealthSmart Benefit Solutions, Inc. HS1 Medical Management, Inc. IEC Group, Inc. Illumifin Corporation. Illumifin India LLP. Indecs Corp. International Medical Administrators, Inc. Insurance Administrator of America, Inc. Key Benefit Administrators, Inc.

Labor First, LLC. Level Benefits, Inc. Lewer Agency, Inc. Lifetime Benefit Solutions, Inc. Loomis Company, The. March Vision Care, Inc. Maxon Administrators, Inc. MedBen Administrators, Inc. Merchants Benefit Administration, Inc. Meritain Health, Inc. Omni Administrators, Inc. If Cigna claims are inadvertently sent directly to Cigna rather than to HNS, your claims will be processed at 'out-of-network' benefits, so please remember to send all Cigna claims to HNS. Our instructions for filing claims supersede information given to you by Cigna HealthCare Representatives.

Back to Top. If you do not already have a username and password, please contact your HNS Service Representative and we will gladly assist you. You may also verify eligibility and benefits on the Cigna for HealthCare Professionals website, www. Most Cigna plans are direct access plans, and referrals from PCPs or prior authorization are not normally necessary. However, there may be a few self-funded plans that require a referral or prior authorization so always ask when verifying benefits.

When it is necessary to refer to another health care provider, referrals within the network are required unless there are no participating Cigna providers in the area where the patient is being referred. For Cigna claims filed through HNS, please note the following:.

If the patient needs pre-certification, the pre-certification requirement is shown on the back of the ID card as either "Inpatient Admission" or "Inpatient Admission and Outpatient Procedures. If you are uncertain about where to file the claim, please email your HNS Service Representative a clear, legible copy of the member ID card and we will respond back to you with an answer within 24 hours. Paper Claims for Cigna:. All primary claims must be filed to HNS within 30 days from the date of service.

Please ignore any instructions regarding where to submit claims by payor phone representatives! HNS instructions regarding where to submit claims supersede all other instructions given by payor representatives when verifying eligibility and benefits.

In order for Cigna HealthCare claims to adjudicate quickly and accurately, please note the following information regarding claims submission specific to Cigna HealthCare. C laims must be identified in box 11c as "Cigna".

Box 17, referring provider, must be left blank on all Cigna HealthCare claims. ASR Health Benefits. MVP Preferred Care. When filing traditional claims electronically, the claim must be identified as a Cigna claim in the address section at the top of the form using the example address below:. PO Box Cornelius, NC For tracing Cigna claims:.

You may check the status of your claims using the Cigna for HealthCare Professionals website , www. Questions relating to your participation in these Cigna products should be directed to your HNS Service Representative at

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Web N. Port Washington Road, Suite , Glendale, WI Telephone: Approval Date: 11/21/ Modified: 05/07/ . WebThe Third Party Management Program applies to those suppliers or entities performing specific services on Cigna’s behalf. The goal of the Third Party Management Program . WebGood Health Insurance TPA Ltd. Suite A, 4th floor, Ashoka My Home Chambers, Behind Ashok Bhoopal chambers, Sardar Patel Road, Secunderabad, Telangana State .