cigna provider appeal form

Contracted Medical or Ancillary Providers. For help, call: 1-800-511-6943. Fill out, securely sign, print or email your cigna appeal forms instantly with SignNow. Start your claim review process. There are three ways to appeal a previously processed claim: Fax the request to Cigna-HealthSpring at 1 (877) 809-0783. one claim in review, fill out a separate form for each one. This form should be used for notification of admission of emergency admissions, and notice of admit for surgery which has already been authorized. (Cigna will use this information for any questions, concerns or responses regarding this form) NOTE: Cigna will review your request and send notification to you once a decision has been rendered. Email or fax state specific forms to CHUSI@cigna.com, 877.815.4827 or 859.410.2419 or call the phone number on the back of your Cigna ID card and ask to speak with a Customer Service Associate. Join Our Network. WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. eviCore's clinical guidelines may include information inapplicable to benefit plans administered by Cigna. 280kB. This form should be used for notification of admission of emergency admissions, and notice of admit for surgery which has already been authorized. Practice Support. Appeal Form Instructions: This form is to be completed by providers to request a claim Appeal for members enrolled in a plan managed by CareCentrix. cigna provider appeal form 2019OS device like an iPhone or iPad, easily create electronic signatures for signing a cigna appeal form in PDF format. cigna provider appeal form 2019OS device like an iPhone or iPad, easily create electronic signatures for signing a cigna appeal form in PDF format. If you are contracted Cigna HealthSpring STAR+PLUS and/or MMP provider and need to add a product, specialty, provider or location to an existing contract please utilize the Provider Information Change Form. To obtain a review submit this form as well as information that will support your appeal, which may include medical records, office notes, discharge summaries, lab records and/or member Requests for claim appeals must be made within 120 days from the date of remittance of the Explanation of Payment (EOP). Additional PayPlus Information. Fill out the Request for Health Care Provider Payment Review form [PDF]. Request Form . Before beginning the appeals process, please call Cigna Customer Service at 1 (800) 88Cigna (882-4462) to try to resolve the issue. This completed form and/or an appeal letter requesting an appeal review and indicating the reason(s) why you believe the claim payment is incorrect and should be changed. … GWH -Cigna or ‘G’ is listed on the front of the card: PO Box 188011 PO Box 188062 Chattanooga, TN 37422 Chattanooga, TN 37422-8062 Leon Medical Centers Health Plans is an HMO plan with a Medicare contract and a contract with the Florida Medicaid program. Additional PayPlus Information. Submit Claims Appeal Form: Fax 1-877-809-0783 Mail Cigna-HealthSpring CarePlan Attn: Appeals and Complaints Department PO Box 211088, Bedford, TX 76095 Electronic Appeals visit our HSConnect provider portal via our website at careplantx.com For assistance, please call Provider Services at … GWH -Cigna or ‘G’ is listed on the front of the card: PO Box 188011 PO Box 188062 Chattanooga, TN 37422 Chattanooga, TN 37422-8062 If issues cannot be resolved informally, Cigna offers two options: An appeal process for resolving contractual disputes regarding post-service payment denials and payment disputes 1. Medicare Provider Portal. 05/27/2021. • Mail the completed form to: California Provider Dispute Resolution Request Cigna Network GWH - Cigna Network P.O. Appeal Form Instructions: This form is to be completed by providers to request a claim Appeal for members enrolled in a plan managed by CareCentrix. Requests for claim appeals must be made within 120 days from the date of remittance of the Explanation of Payment (EOP). To File Your AppealLegibly write or type the reasons why you disagree with the Determination of Eligibility.Sign your name and indicate whether you are the claimant or the employer.Be sure to include your mailing address and telephone number on all correspondence that you send. ...Include a copy of the Determination of Eligibility that you are appealing.More items... Clinical decisions, including treatment decisions, are the responsibility of the individual and his/her provider. Health care providers will receive notification of PPO, EPO and Open Access Plus Products dispute resolutions within 75 business days of receipt of the original dispute. Cigna STAR+PLUS plans help people like you get the health care they need when, where, and how they need it. Reason for claim disputes: Reason for appeal:. Find appeal policies, claim editing procedures and laboratory and reimbursement information critical to working with Cigna. C/O Cigna Business. Commercial and Medicare Advantage providers have convenient access to general and region-specific information through Prominence Health Plan. For any questions regarding the Provider Change Form, please take a moment to review the FAQ. Click here to become a Cigna Provider. This form should be used for notification of admission of emergency admissions, and notice of admit for surgery which has already been authorized. 341kB. STAR+PLUS is a Texas Medicaid managed care program. This form is not for prior-authorization of planned surgical procedures (please refer to Generic fax request form for surgical requests). Cigna works with the Health and Human Services Commission (HHSC) of Texas to help families and individuals get STAR+PLUS health coverage. Execute EviCore Healthcare Claims Appeal Form within several moments by following the instructions listed below: Find the document template you want from our collection of legal forms. Behavioral Health. Enrollment in Leon Medical Centers Health Plans depends on contract renewal. Note: Cigna providers must adhere to Cigna’s filing deadline guideline of 180 calendar days from the initial payment or denial. PO Box 188011. Market. 1st level appeal . Precertification process Learn what services require precertification and how to properly request it for medications, medical procedures, … OUT-OF-NETWORK PROVIDER NEGOTIATION REQUEST FORM Please fill in ALL of the information. 05/27/2021. Mail th iscompleted form (Request for Health Care Professional The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. You may also request any information from this website in audio, larger print, braille or another language. This form may be used to initiate termination from the Cigna Behavioral Health provider network. Compensation Appeals Overview The only way to adjust or dispute a Shared Administration claim is by mail, and a CareLinkSM– Shared Administration Provider Payment Dispute Form is required. 360 Comprehensive Assessment Form 2020. WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. To find it, … Providers may fax Claims Appeal Form to 1-877-809-0783 or mail them to: Cigna STAR+PLUS Appeals and Complaints Department PO Box 211088 Bedford, TX 76095 Provider Services Phone Number: 1-877-653-0331 Cigna STAR+PLUS Appeals Providers must request Claims Appeal within 120 days from the date of the Explanation of Payment (EOP). Find appeal policies, claim editing procedures and laboratory and reimbursement information critical to working with Cigna. • For routine follow-up, please use the Claims Follow-Up Form instead of the Provider Dispute Resolution Form. Click the Get form key to open the document and move to editing. C/O Cigna Business. Selecting these links will take you away from Cigna Medicare Advantage and Medicare Part D Prescription Drug Plan information. Request for Confidential Communications for Vermont Resident Crime Victims English. Health care providers will receive notification of PPO, EPO and Open Access Plus Products dispute resolutions within 75 business days of receipt of the original dispute. Box 668 Chattanooga, TN 37422 Kennett, MO 63857 *Provider NPI Provider Tax ID *Provider Name Provider Address PROVIDER TYPE: MD … Applied Behavior Analysis (ABA) Prior Authorization Form. Provider Online Portal – Claimstat MCIS (Arizona only) Provider Online Portal – HSConnect. How to Submit an Appeal. However, these guidelines may not be applicable in certain clinical circumstances. REQUESTS FOR AN APPEAL SHOULD INCLUDE: 1. You can download and print a copy of this form by going to CignaforHCP.com > Find the Right Forms > Medical Forms > Request for Health Professional Payment Review . Providers may fax Claims Appeal Form to 1-877-809-0783 or mail them to: Cigna STAR+PLUS Appeals and Complaints Department PO Box 211088 Bedford, TX 76095 Provider Services Phone Number: 1-877-653-0331 Cigna STAR+PLUS Appeals Providers must request Claims Appeal within 120 days from the date of the Explanation of Payment (EOP). This committee is comprised of medical management, risk management, account management, claims/customer service and your appeals advocate—a CIGNA employee who assures that you have access to all your legal rights of appeal. 877-828-8770 info@ppsonline.com. This is useful for forms that you want to view and/or print. Selecting these links will take you away from Cigna Medicare Advantage and Medicare Part D Prescription Drug Plan information. At this level of appeal, you and your provider have the right to participate by phone in the review process. Compensation Appeals Overview The only way to adjust or dispute a Shared Administration claim is by mail, and a CareLinkSM– Shared Administration Provider Payment Dispute Form … Behavioral Health. Please note: The information contained in this form may be released to the customer or the customer's representative. WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. PDF. Submit appeals to: Cigna Attn: Appeals Unit PO Box 24087 Nashville, TN 37202 Fax: 1-800-931-0149 . Please contact PayPlus Solutions at the following information. • For routine follow-up, please use the Claims Follow-Up Form instead of the Provider Dispute Resolution Form. Box 188011 P.O. ©2015 Cigna. File individual electronic appeals through Cigna-HealthSpring's Provider Portal. Please note: The information contained in this form may be released to the customer or … You or your provider can request a standard . expedited. Last payment adjustment if the appeal relates to a payment that was adjusted by Cigna. Include copy of letter/request received. Requests for claim appeals must be made within 120 days from the date of remittance of the Explanation of Payment (EOP). Market. 03/2020. PDF. Box 188011 P.O. Cigna works with the Health and Human Services Commission (HHSC) of Texas to help families and individuals get STAR+PLUS health coverage. This form may be used to initiate termination from the Cigna Behavioral Health provider network. Mail address: Send all Appeal requests to: CareCentrix – Appeals PO BOX 30721-3721 Fill out all of the necessary boxes (these are yellowish). TIPS FOR COMPLETING THIS FORM: 924445 Rev. Mail the completed Appeal Request Form or Appeal Letter along with all … Ervice. Practice Support. GWH -Cigna or ‘G’ is listed on the front of the card: PO Box 188011 PO Box 188062 Chattanooga, TN 37422 Chattanooga, TN 37422-8062 Letter. For more than 125 years, Cigna has been committed to building a trusted network of health care providers so we can connect your patients with truly personalized care. Facility/Patient Information. TIPS FOR COMPLETING THIS FORM: 924445 Rev. Log into our provider portals and access additional resources. Cigna Medicare ID Cards. Have your Name, Contact information, and your Tax ID available. Start your claim review process. Provider Payment Dispute Form . To find it, go to the AppStore and type signNow in the search field. This form may be used to initiate termination from the Cigna Behavioral Health provider network. Last payment adjustment if the appeal relates to a payment that was adjusted by Cigna. one claim in review, fill out a separate form for each one. The form will help to fully document the circumstances around the appeal request and will also help to ensure a timely review of the appeal. Complete all areas of this form and attach the appropriate documentation as well as a signed letter stating the reason why you are filing a payment dispute. Request Form . Selecting these links will take you away from Cigna.com. Revised 05/2019 1 CareLinkSM — Cigna as Primary Administrator 2092291 Provider Payment Dispute Form CareLinkSM — Cigna as Primary Administrator . Cigna-HealthSpring CarePlan (Medicare-Medicaid Plan) Claims Appeal Form Providers must request Claims Appeal within 60 days from the date of the Explanation of Payment (EOP). Submit electronic claims with payer number 62308. Timely Filing Limit is the time frame set by insurance companies and provider has to submit health care claims to respective insurance company within the set time frame for reimbursement of the claims. ... Aetna Better Health TFL - Timely filing Limit: Initial Claims: 180 Days Resubmission: 365 Days from date of Explanation of Benefits If you do not hear from eviCore within the standard 30 days, please call 800-792-8744, option 4. Commercial / ASO Provider Portal. Mail address: Send all Appeal requests to: CareCentrix – Appeals PO BOX 30721-3721 Box 668 Chattanooga, TN 37422 Kennett, MO 63857 ©2013 Cigna How to Submit an Appeal. Facility/Patient Information. Provider Payment Dispute Form . Behavioral Appeals … There are three ways to Appeal a previously processed claim: Fax the request to Cigna-HealthSpring STAR+PLUS at 1 (877) 809-0783. Join Our Network. We are continuing to operate under normal business hours and are here to assist. 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. STAR+PLUS is a Texas Medicaid managed care program. Practice Support. 280kB. 1st level appeal Box 188011 P.O. If the level of review is an appeal you will receive a determination within the standard 30 days, or earlier based on state or federal requirements, as defined in the appeal rights of the initial decision notice. ARIZONA REGION Information for Arizona region health care providers can be found in your current provider … Note: Cigna providers must adhere to Cigna’s filing deadline guideline of 180 calendar days from the initial payment or denial. If this does not resolve your concern, CIGNA Behavioral Health will (when appropriate), contact you or your provider, offering an . This form should only be used for claim Appeals; corrected claims & claim reconsiderations should not use this form. Precertification process Learn what services require precertification and how to properly request it for medications, medical procedures, and services managed by delegated ancillary vendors. Please note: The information contained in this form may be released to the customer or the customer's representative. Have your Name, Contact information, and your Tax ID available. Mail the request to: Cigna-HealthSpring STAR+PLUS Attn: Appeals and Complaints Department P.O. Providers may fax Claims Appeal Form to 1-877-809-0783 or mail them to: Cigna STAR+PLUS Appeals and Complaints Department PO Box 211088 Bedford, TX 76095 Provider Services Phone Number: 1-877-653-0331 Cigna STAR+PLUS Appeals Providers must request Claims Appeal within 120 days from the date of the Explanation of Payment (EOP). cignaforhcp.com. Enrollment in Leon Medical Centers Health Plans depends on contract renewal. At this level of appeal, you and your provider have the right to participate by phone in the review process. eviCore's clinical guidelines may include information inapplicable to benefit plans administered by Cigna. APPEALS AND RECONSIDERATION Request form All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. GWH-Cigna Sample Card. This form is not for prior-authorization of planned surgical procedures (please refer to Generic fax request form for surgical requests). › Sending in this form does not guarantee that we’ll make a different payment decision. Request Form. 03/2020. This form should be completed by the clinician who has a thorough knowledge of the Cigna customer's current clinical presentation and his/her treatment history. If you submit a letter without a copy of the Customer Appeal form, please specify in your letter this is a "Customer Appeal". 877-828-8770 info@ppsonline.com. Denied Case Number. GWH-Cigna Sample Card. Mail the request to: Cigna-HealthSpring, Inc. Submit appeals to: Cigna HealthCare of California, Inc. National Appeals Unit. Box 188011 P.O. This form should be completed by the clinician who has a thorough knowledge of the Cigna customer's current clinical presentation and his/her treatment history. Fill out the Request for Health Care Provider Payment Review form [PDF]. The form will help to fully document the circumstances around the appeal request and will also help to ensure a timely review of the appeal. Box 668 Chattanooga, TN 37422 Kennett, MO 63857 ©2013 Cigna Electronic EOB's and EFT. If you are contracted Cigna HealthSpring STAR+PLUS and/or MMP provider and need to add a product, specialty, provider or location to an existing contract please utilize the Provider Information Change Form. For claim denials relating to claim coding and bundling edits, a health care provider may have the option to request … File individual electronic appeals through the Cigna-HealthSpring STAR+PLUS Provider Portal. Email or fax state specific forms to CHUSI@cigna.com, 877.815.4827 or 859.410.2419 or call the phone number on the back of your Cigna ID card and ask to speak with a Customer Service Associate. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. one claim in review, fill out a separate form for each one. Mail address: Send all Appeal requests to: CareCentrix – Appeals PO BOX 30721-3721 Contracted Medical or Ancillary Providers. Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. Commercial Drug Prior Authorization Forms. Claims and Appeals questions: Phone: 1 (800) 627-7534 | Fax: 1 (860) 731-3463. Clinical decisions, including treatment decisions, are the responsibility of the individual and his/her provider. PDF. 2. standard. If submitting a letter, please include all information requested on this form. Box 668 Chattanooga, TN 37422 Kennett, MO 63857 *Provider NPI Provider Tax ID *Provider Name Provider Address PROVIDER TYPE: MD … For Providers UHS Digital 2020-10-06T10:06:19-04:00. Cigna Medicare ID Cards. There are three ways to Appeal a previously processed claim: Fax the request to Cigna-HealthSpring STAR+PLUS at 1 (877) 809-0783. If the ID card indicates: Cigna Network Cigna Appeals Unit P.O. Submit Claims Appeal Form: Fax 1-877-809-0783 Mail Cigna-HealthSpring CarePlan Attn: Appeals and Complaints Department PO Box 211088, Bedford, TX 76095 Electronic Appeals visit our HSConnect provider portal via our website at careplantx.com For assistance, please call Provider Services at 1-877-653-0331. Ervice. Submit Great-West Healthcare-Cigna (GWH-Cigna) claims directly to GWH-Cigna at the claims address on the member's ID card: PO Box 188061, Chattanooga, TN 37422-8061. signNow has paid close attention to iOS users and developed an application just for them. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. You may also request any information from this website in audio, larger print, braille or another language. There are three ways to Appeal a previously processed claim: Fax the request to Cigna-HealthSpring STAR+PLUS at 1 (877) 809-0783. For routine follow-up, please use the Claims Follow-Up Form instead of the Provider Dispute Resolution Form. Box 38639 Phoenix, AZ 85069 Do not send disputes to P.O. Submit disputes to: Cigna Medicare Services Attn: Medicare Claims Department Additional PayPlus Information. Include precertification/prior authorization number. Electronic claims may be submitted through: www.claimstatmcis.com | Use Payor ID: 62308. Submit appeals to: Cigna Attn: Appeals Unit PO Box 24087 Nashville, TN 37202 Fax: 1-800-931-0149 . • Mail the completed form to: California Provider Dispute Resolution Request Cigna Network GWH - Cigna Network P.O. Patient ID. Box. File individual electronic appeals through the Cigna-HealthSpring STAR+PLUS Provider Portal. Mail the completed Appeal Request Form or Appeal Letter along with all supporting documentation to the address below: This web site uses files in Adobe Acrobat Portable Document Format (PDF). Execute EviCore Healthcare Claims Appeal Form within several moments by following the instructions listed below: Find the document template you want from our collection of legal forms. Cigna STAR+PLUS plans help people like you get the health care they need when, where, and how they need it. Leon Medical Centers Health Plans is an HMO plan with a Medicare contract and a contract with the Florida Medicaid program. Appeal Form Instructions: This form is to be completed by providers to request a claim Appeal for members enrolled in a plan managed by CareCentrix. Have your Name, Contact information, and your Tax ID available. Once completed, please save it to your computer and then email it to BehavioralTerminations@Cigna.com. Within 5 business days of receiving a written claim appeal, Cigna-HealthSpring will send an acknowledgement letter to the appealing provider. Behavioral Appeals Cover Sheet. If an expedited appeal is not appropriate, a . Once completed, please save it to your computer and then email it to BehavioralTerminations@Cigna.com. ARIZONA REGION Information for Arizona region health care providers can be found in your current provider manual and references . Enrollment in Cigna-HealthSpring depends on contract renewal. 1st level appeal. For routine follow-up, please use the Claims Follow-Up Form instead of the Provider Dispute Resolution Form. Fill out the Request for Health Care Provider Payment Review form [PDF]. • Mail the completed form to: California Provider Dispute Resolution Request Cigna Network GWH - Cigna Network P.O. Include precertification/prior authorization number. 877-828-8770 info@ppsonline.com. Selecting these links will take you away from Cigna.com. Enrollment in Cigna-HealthSpring depends on contract renewal. APPEALS AND RECONSIDERATION Request form All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. You will receive an appeal decision in writing. Mail the request to: Cigna-HealthSpring, Inc. This committee is comprised of medical management, risk management, account management, claims/customer service and your appeals advocate—a CIGNA employee who assures that you have access to all your legal rights of appeal. Reason for claim disputes: Reason for appeal:. Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. Step3: Refer to the patient’s Cigna ID card to determine the appeal address to use below. Submit Great-West Healthcare-Cigna (GWH-Cigna) claims directly to GWH-Cigna at the claims address on the member's ID card: PO Box 188061, Chattanooga, TN 37422-8061. If you are contracted Cigna HealthSpring STAR+PLUS and/or MMP provider and need to add a product, specialty, provider or location to an existing contract please utilize the Provider Information Change Form. Submit appeals to: Cigna-HealthSpring Attn: Appeals Unit PO Box 24087 Nashville, TN 37202 Fax: 1-800-931-0149 For help, call: 1-800-511-6943 Reconsiderations Reason for reconsideration: Payment issue Duplicate claim Retraction of payment Request for medical records • … ePAs save time and help patients receive their medications faster. 03/2020. Available for PC, iOS and Android. Market. Compensation Appeals Overview The only way to adjust or dispute a Shared Administration claim is by mail, and a CareLinkSM– Shared Administration Provider Payment Dispute Form is required. Submit electronic claims with payer number 62308. Applied Behavior Analysis (ABA) Benefit Request Form. Selecting these links will take you away from Cigna Medicare Advantage and Medicare Part D Prescription Drug Plan information. This form may be particularly helpful if you need to appeal many claims for the same reason - you can use just one form: Provider Claims Appeal Form. signNow has paid close attention to iOS users and developed an application just for them. This form should only be used for claim Appeals; corrected claims & claim reconsiderations should not use this form. Submit appeals to: Cigna Attn: Appeals Unit PO Box 24087 Nashville, TN 37202 Fax: 1-800-931-0149 . • For routine follow-up, please use the Claims Follow-Up Form instead of the Provider Dispute Resolution Form. Fill out all of the necessary boxes (these are yellowish). Electronic EOB's and EFT. Commercial and Medicare Advantage providers have convenient access to general and region-specific information through Prominence Health Plan. Click the Get form key to open the document and move to editing. Include copy of letter/request received. Reason for appeal:. The form will help to fully document the circumstances around the appeal request and will also help to ensure a timely review of the appeal. Revised 05/2019 1 CareLinkSM — Cigna as Primary Administrator 2092291 Provider Payment Dispute Form CareLinkSM — Cigna as Primary Administrator . Please refer to the CDC for the most current updates on the coronavirus status, and we will continue to share updates as situations evolve and change. will be offered. Please include all the information that is requested on this form. Mail the completed form to: California Provider Dispute Resolution Request Cigna Network GWH - Cigna Network P.O. Please refer to the CDC for the most current updates on the coronavirus status, and we will continue to share updates as situations evolve and change. This form should only be used for claim Appeals; corrected claims & claim reconsiderations should not use this form. Omissions, generalities, and illegibility will result in this request being returned for completion or clarification.. Transcranial Magnetic Stimulation (TMS) Request Form. Timely filing is when an insurance company puts a time limit on claims submission. For example, if a payer has a 90-day timely filing requirement, that means you. Cigna, 90 days from date of service. Mail the completed form to: California Provider Dispute Resolution Request Cigna Network GWH - Cigna Network P.O. BEHAVIORAL PROVIDER TERMINATION REQUEST FORM. This web site uses files in Adobe Acrobat Portable Document Format (PDF). Practitioner and Provider Complaint and Appeal Request NOTE: Completion of this form is mandatory. 360 Comprehensive Assessment Form 2020. Cigna Appeals Form. Coding dispute Remittance Advice (RA), Explanation of Benefits (EOB), or other cignaforhcp.com. Cigna Medicare Patient Support Programs QRG Print Size: Legal paper (8.5 x 14 in) Clinical Practice Guidelines – 2021. Revised 05/2019 1 CareLinkSM — Cigna as Primary Administrator 2092291 Provider Payment Dispute Form CareLinkSM — Cigna as Primary Administrator . This is useful for forms that you want to view and/or print. To obtain a review submit this form as well as information that will support your appeal, which may include medical records, office notes, discharge summaries, lab records and/or member Request Form. We are continuing to operate under normal business hours and are here to assist. For more than 125 years, Cigna has been committed to building a trusted network of health care providers so we can connect your patients with truly personalized care. Commercial / ASO Provider Portal. Submit appeals to: Cigna HealthCare of California, Inc. National Appeals Unit PO Box 188011 Chattanooga, TN 37422; Health care providers will receive notification of PPO, EPO and Open Access Plus Products dispute resolutions within 75 business days of receipt of the original dispute. Find appeal policies, claim editing procedures and laboratory and reimbursement information critical to working with Cigna. Request for additional informationCoordination of Benefits. Submit appeals to: Cigna HealthCare of California, Inc. National Appeals Unit. This web site uses files in Adobe Acrobat Portable Document Format (PDF).