How to File A Claim
Cigna strongly encourages you to submit claims electronically, including Coordination of Benefits (COB) claims. There are two easy ways to submit electronic claims to Cigna:
- Direct Electronic Claim Submission
- Electronic Claim Filing Through a Clearinghouse
Direct Electronic Claim Submission
Submit electronic claims directly to Cigna using the Post-n-Track® web service. This free, easy to use option is available through Post-n-Track® for sending HIPAA standard ANSI 837 claim files.
Advantages of the Post-n-Track® web service:
- Free electronic claims submission for healthcare professional and facilities
- No set up, transmission or support fee
- Quick and easy online enrollment
- Provides easy to read confirmation, rejection and status reports
- ANSI 835 electronic remittance advice is available free of charge
- One easy connection for all Cigna claims
Enroll now at www.Post-N-Track.com/Cigna.
Electronic Claim Filing Through a Clearinghouse
If you prefer to have a third party submit your claims to Cigna, you can still enjoy all the benefits of electronic filing, including:
- Streamlined billing, helping to reduce paperwork
- Faster claim delivery than traditional mail
- Improved feedback/correction capability for claims with missing or invalid data
- One address for all Cigna claims
- Confirmation that your claims were received by Cigna
Contact one of these clearinghouses to electronically submit claims to Cigna:
| Medical Clearinghouse | Telephone Number | Website |
|---|---|---|
| Change Healthcare (Formerly Emdeon) | 877.469.3263 | www.changehealthcare.com |
| OptumInsight | 800.341.6141 | http://www.optuminsight.com/ |
| Availity | 800.282.4548 | http://www.availity.com |
| Gateway EDI | 800.969.3666 | http://www.gatewayedi.com |
| SSI Group | 800.881.2739 | http://www.thessigroup.com |
| Inmediata (PR and VI only) | 787.783.3233 | http://www.inmediata.com |
| Dental Clearinghouse | Telephone Number | Website |
|---|---|---|
| Change Healthcare (Formerly Emdeon) | 888.255.7293 | http://emdeondental.com |
| DentalXChange | 877.932.2567 | http://www.dentalxchange.com |
| Tesia | 800.724.7240 | http://www.tesia.com |
| Inmediata (PR and VI only) | 787.783.3233 | http://www.inmediata.com |
EDI Vendors
These vendors submit claims to Cigna using the Post-n-Track web service or through one of the clearinghouses listed,
If you currently submit 100% of your claims to Cigna on paper and agree to convert to electronic claims submission, you may be eligible to:
- Submit claims electronically for free via MD On-Line and qualify for special offers on all payer solutions, or
- Obtain free claims submission services from Office Ally.
Contact MD On-Line or Office Ally for more information:
| EDI Vendor | Telephone Number | Website |
|---|---|---|
| MD On-Line | 888.499.5465 | http://www.mdol.com/cigna |
| Office Ally | 866.575.4120 | http://www.officeally.com |
Paper Filing
We strongly recommend electronic filing. However, we still maintain processes for handling paper claims. We electronically scan, sort, and store your paper claims. This reduces manual keying errors and improves the response time on your paper claims.
You can help us by following these guidelines when completing and submitting paper claims:
- Use the UB-04 claim form for hospital charges or the CMS 1500 form for all other claims. Please use original claim forms because they will scan better than copied versions
- Make sure that all the appropriate UB-04 form fields and CMS-1500 form fields are completed. This will help avoid returned claims due to missing information.
- Refer to the patient's current Cigna ID card to be sure that you have the appropriate customer ID number and suffix, as well as the correct address for submitting claims.
- Use machine-printed forms whenever possible. If you need to handwrite information, please use black ink.
Note: It is important to include the patient's Cigna ID number on all claim attachments and correspondence.