cigna prior auth template

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depending on a patient’s plan, you may be required to request a prior authorization or precertification for any number of prescriptions or services. to better serve our providers, business partners, and patients, the cigna coverage review department is transitioning from promptpa, fax, and phone coverage reviews (also called prior authorizations) to electronic prior authorizations (epas). if you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request.

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., and cigna healthcare of north carolina, inc. group health insurance and health benefit plans are insured or administered by chlic, connecticut general life insurance company (cglic), or their affiliates (see a listing of the legal entities that insure or administer group hmo, dental hmo, and other products or services in your state). life (other than gul), accident, critical illness, hospital indemnity, and disability plans are insured or administered by life insurance company of north america, except in ny, where insured plans are offered by cigna life insurance company of new york (new york, ny). for availability, costs and complete details of coverage, contact a licensed agent or cigna sales representative. cigna may not control the content or links of non-cigna websites.

prior authorization request form–outpatient. please fax to: 1-800-931-0145 (home health services). if you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization cigna). page 2. (if no) please provide the reason(s) why your patient is unable to use the available alternative(s):., cigna prior authorization form 2019, cigna prior authorization form 2019, cigna prior authorization phone number, cigna outpatient prior authorization form, cigna radiology prior authorization. does cigna require prior authorization? does cigna allow retro authorization? how long does it take cigna to approve an mri? how do i get a cigna tax form?

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