CIGNA INTERNATIONAL CLAIM FORM PAGE 2 OF 2 # 812849 (English) Rev 10/08 SECTION C: OTHER COVERAGE INFORMATION (Complete only if other coverage is in effect or if the claim is accident or work related) DO YOU OR THE PATIENT HAVE ANY OTHER INSURANCE? Both primary and secondary Claim should be submitted electronically to save money, time, improve claim processing accuracy and for the faster response and payments. This applies after any applicable deductibles are calculated, and will be capped by the out of pocket maximum amount you have selected per period of cover. Contact a Licensed Insurance Agent for additional information. 119 0 obj
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For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Quality and efficiency are at the heart of everything we do. Browse our opportunities and apply today to a Cigna customer-service-claims position. Important Contact Information Questions about KelseyCare powered by Cigna: 713-442-5852 or email julio.i turriaga@kelsey-seybold.com. endstream
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A Cigna Claims Manager will be assigned to manage your supplemental health claim. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. If you've paid for your treatment yourself, you'll need to claim back your covered costs, less any deductibles and/or cost shares you may have chosen, from us. General Data Protection Regulation (GDPR), Insurance Product Information Documents (IPID). Apply for customer-service-claims jobs at Cigna. © Our Contact Centre is available 24/7, 365 days a year. You should still contact us prior to receiving treatment. Types of Clinical Documentation That May Be Requested Include Wherever you are, Cigna is nearby. Madrid. Cigna does not control the linked sites' content or links. Phone: +86 21 6086 3109 +86 21 6086 3109 If for any reason it's not possible to call us before treatment, such as an emergency, you may need to pay for your treatment up front, and claim your covered costs back from us, less any deductibles and/or cost shares you may have chosen. Follow the "Instructions For Filing a Claim" on page 2 to guide you through the steps required to help ensure your claim is processed correctly. Customer ID Card (Back) Confidential, unpublished property of Cigna. Cigna-HealthSpring - STAR+PLUS PO Box 981709 El Paso, TX 79998-1709. Download and print a ready-to-use claim form. • When submitting claims please be sure to check the back of the customer’s ID card • The field “Medical Claims” will provide you with the correct claims address to mail in the claim. Antwerp (headquarters) Plantin en Moretuslei 299 2140 Antwerpen Belgium +32 3 217 57 30 . There are two ways to check the payment status of a claim: Access the Cigna-HealthSpring STAR+PLUS Provider Portal. Whether you wish to speak to our sales team or get general help if you are already a Cigna member, weâll get you to the right information. On these occasions, simply send your invoice and claim form to us and we'll pay them directly, less any applicable deductibles and/or cost share options. Claims Address; Acute care, long term support services, and behavioral health services. Cigna may not control the content or links of non-Cigna websites. The first step in making an insurance claim is to contact Cigna directly. 0
Contact Cigna Customer Service at 1 (800) 997-1654 or visit this page to find specific phone numbers for plan and coverage questions or a claims mailing address. Send us your invoice and claim by fax or email scanned copies instead of posting them. '�L�Y�i&��U���]�X For Spanish domestic members visit your member area for more details. Mail your completed claim form(s), with original itemized bill(s) attached, to the Cigna HealthCare Claims Office printed on your Cigna HealthCare ID card. Our offices . Whatever your health insurance needs, our International Medical Plans can be tailored to meet them, while always offering a global support network of hospitals and medical professionals. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Mental Health and Substance Abuse Claims. Health Details: Claims Mailing Address Cigna HealthCare PO Box 5200 Scranton, PA 18505.Eligibility/Billing Phone: 1 (800) 603-0125 Fax: 1 (603) 268-7830. Help us to reimburse you quickly. 144 0 obj
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This website is provided by Cigna European Services (UK) Limited, a company incorporated in England and Wales having its registered address at 13th Floor, 5 Aldermanbury Square, London EC2V 7HR and registered number 00199739. âCigna®" is a registered service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its subsidiaries. materials which describe your particular plan benefits, or call Cigna Customer Service for information about the services covered under your plan benefits. This simple diagram illustrates how our claims and treatment process works. To help us achieve this, please follow these simple tips: If you chose to apply deductibles to your plan, you'll need to pay this amount towards the treatment yourself. Normally, we'll reimburse you within five days of receiving your claim. You'll find claim forms in your welcome pack, or you can download them below. Box 188004 Chattanooga, TN 37422-8004. Tell us how and where you want your refund issued. You can send your invoice and claim form to us by any of the following means: Submit them directly via your secure online Customer Area. Parque Empresarial La Finca Paseo del Club Deportivo, 1 KelseyCare Concierge: 713-442-0006 (Toll-free: 866-609-1630) Call your KelseyCare Concierge Monday – Friday, 8 a.m. to 5 p.m., for personalized assistance in scheduling appointments and selecting physicians. Cigna Health Care Employer Services PO Box 2010 Concord, NH 03302. Normally, we'll reimburse you within five days of receiving your claim. This page tells you how our claims and treatment process works. Please advise us of any emergency treatment within 48 hours. If you have questions or need assistance, please contact Customer Service at the toll-free telephone number listed in your enrollment materials or on your Cigna … Selecting these links will take you away from Cignaglobal.com. If you have additional questions, please contact Customer Service using the toll-free number on your ID card. Please send requested documentation to our dedicated mailing address or fax number: Cigna Complex Claim Review PO Box 188015 Chattanooga, TN 37422 Fax: 1.859.410.2421 . Contact Customer Service For questions about your medical insurance plan, your claims or in case of emergency, please use the dedicated contact details on your membership card or … 103 0 obj
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Please clearly state your policy number on any documentation you submit to us. This website is not intended for residents of New Mexico. Cigna-HealthSpring Claims Address Mail Paper Claims to: Cigna-HealthSpring PO Box 981706 El Paso, TX 79998 Mail Appeals to: Cigna-HealthSpring PO Box 24087 Nashville, TN 37202 Health Details: While Cigna-HealthSpring accepts both electronic and paper claims but they prefers electronic submission of claims. Cigna Claims Mailing Address. Customer Care Team,Cigna Global Health Options,Customer service1 Knowe RoadGreenockScotlandPA15 4RJ. Physicians must file on the form CMS-1500; hospitals must use the form UB-04. If you chose to apply cost shares to your plans, you'll need to pay this amount towards the treatment yourself. %PDF-1.6
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You can also search for direct billing providers near you by using your secure online Customer Area. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. Enrollment in Cigna-HealthSpring depends on contract renewal. �'��� ��d���C��׆K��?��6%���P���)�%�
x�'�4L��R��$+��;�\� H�9�F�Wy�MH����D�yT �J�{�S�x�j>��q�G. We'll pay the remainder of the covered costs of your claim directly to your hospital, clinic or doctor. About Cigna International health insurance plans. �'��;uC~�����ϛ
�)�l0����.��B�R%3q�8]P��AZS i��T�.�[(���uZ�H��"7P�� �T�u�>��@�I`l������.����,�M�^1d�`��[��1�o�?��T?�p�Ok��8�T���\��R,��� �]*h�w��rV��T�u��U8O�=�#6�H�w��X/Q��g���Y|�/Ghl5M�P��I.-[C�. Speak to a Cigna-HealthSpring STAR+PLUS Representative by calling 1 (877) 653-0331. OptumHealth SM Behavioral Solutions provides our mental health and substance abuse (MHSA) benefits. Complete, sign and mail or fax your claim form to: Cigna Disability Management Solutions Paper Intake Team P.O. We will help you to find the most appropriate hospital, clinic or doctor near you, and arrange, wherever possible, to pay them directly (less any deductibles and/or cost share options you may have chosen) - saving you the time and hassle of paying for it yourself and claiming back from us later. In most cases, physicians and facilities will file claims for you. Box 709015 Dallas, TX 75370-9015 Fax: 1 (800) 642-8553; Email: claims.pghlif2@Cigna.com; It may be necessary for us to obtain additional information or clarification from your employer and your health care provider. However, sometimes they'll invoice you after treatment. If you have any questions regarding any aspect of the process, call our Customer Care Team on +44 (0) 1475 788182 or from the US on 800 835 7677. If you provide confirmation of your diagnosis or explanation of treatment you don't need to send a claim form. For the best experience on Cigna.com, cookies should be enabled. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. UAE - 8001 CIGNA (800124462) Bahrain - 800 11309 Kuwait - 96522205069 Oman - 80074256 Qatar - 00800100398 KSA - 966 92000 9150 If a deductible is chosen, you would only have to pay this once during any period of cover irrespective of the number of claims. Cigna.com no longer supports the browser you are using. Whole health is a new way to think about care that allows Cigna … Yes No IF YES, PROVIDE THE NAME OF THE HEALTH INSURANCE CARRIER, EFFECTIVE DATE OF COVERAGE AND POLICY NUMBER - Send your completed claim form and itemized bills to the Cigna address listed on your ID card. endstream
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Legal Notice : All products are underwritten and issued by Freedom Life Insurance Company of America, National Foundation Life Insurance Company and Enterprise Life Insurance Company, wholly owned subsidiaries of USHEALTH Group, Inc. All products not available in all states. Contact Numbers | Cigna. The information, tools, and resources you need to support the day-to-day needs of your office When you need treatment, call our Customer Care Team on +44 (0) 1475 788182 or from the US on 800 835 7677. So, for example if you choose a deductible of £100, you'll need to pay the first £100 of a covered claim or covered claims in any period of cover at the time of treatment. DentaQuest-Claims 12121 North Corporate Parkway Mequon, WI 53092 Emdeon/Availity Payer ID: CX014. Do not duplicate or distribute. Our team will guide you through the claims process, beginning with giving you clear information on your policy and sending out any required forms for your claim. A member service representative can also talk to you about our Service Coordination Program. Contact Information. HealthPartners Claims Mailing Address HealthPartners Claims Department P.O. Cigna Claims address and Customer Service Phone Number. If necessary information is missing, we may reach out to you, your doctor, and/or your employer at that time. Submit Correspondence Only: ����W�%t�ڗ�I2v�����&;[�?�sM
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Cigna customers employed by companies with home offices in Asia should use the contact information located on the back of their Cigna ID card or contact Cigna using the following information. Box 1289 Minneapolis, MN 55440-1289 Dental Services www.dentaquestgov.com 1 (888) 308-9345. update, please feel free to contact the Cigna-HealthSpring Provider Service Center at 1-800-230-6138, or you may reach out to your local Network Operations Representative. Make a claim. COMPANY BASED IN MIDDLE EAST. Please note, the initial review of your claim could take up to 10 business days. We continuously monitor our performance in all areas and train our teams to give you the best service. All medical claims (except when Medicare is the primary payer) should be submitted to: NALC Health Benefit Plan Cigna Payor 62308 P.O. Learn more about electronic claims submission with … %%EOF
- If you are sending more than one claim in the same envelope, then please use a paper clip to keep the claim form and itemized bills together. If you have any questions regarding any aspect of the process, call our Customer Care Team on +44 (0) 1475 788182 or from the US on 800 835 7677. h�bbd``b`Z $���� b�`\@��DH � �v$�`�@b� S܁D/�����b``�3��%@� �I
Mail Paper Claims: CIGNA Payor 62308 P. O. Your hospital, clinic or doctor will usually send their invoice straight to us. Once we complete our review, we will process and reimburse the claim accordingly, and issue an explanation of payment. This is a percentage you must pay towards your cost of treatment. Cigna Global Health Options, Customer service 1 Knowe Road Greenock Scotland PA15 4RJ. Box 188007 Chattanooga, TN 37422 Download claim form. Disregard the Scranton, PA address on the ID card and submit all medical claims and correspondence to the appropriate Chattanooga, TN address shown in the tables of the November 2010 issue of Network News. Our team is happy to answer any questions you may have, in your preferred language. If you have a question about Cigna STAR+PLUS, or access to covered services and benefits call Member Services at 1 (877) 653-0327 (TTY: 7-1-1) Monday – Friday from 8:00 am – 5:00 pm Central Time. 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