Health Care Professional Reference Guides

Cigna Reference Guide for Physicians, Hospitals, Ancillaries and Other Health Care Professionals

Inside the guide

The Reference Guide contains Administrative Guidelines and Program Requirements for the programs, policies, rules, and procedures pertaining to Cigna’s insured or administered plans. We will give you advance notice of material changes to our Administrative Guidelines and Program Requirements.

Your Cigna Participating Provider Agreement and this Reference Guide describe many of the terms under which you agree to provide services to Cigna Plan Participants. Those terms include the reimbursement rates applicable to Covered Services provided to Participants. However, the actual benefits payable by a Payor for Covered Services provided to a Participant in all cases is determined exclusively by the terms of the Payor’s Benefit Plan.

The Reference Guide applies to all Cigna business including plans for Participants who access the GWH-Cigna network.

Our commitment and mission

Cigna is committed to working with hospitals, ancillary facilities, physicians and other health care professionals to help ensure that our customers (also referred to as “Participants” in your Cigna Participating Provider Agreement) have access to quality services and benefits. Your cooperation and compliance with the procedures outlined in this guide are essential to our keeping this commitment.

As part of our mission, we strive to help the people we serve improve their health, well-being and sense of security. We measure our performance through annual health care professional surveys and we welcome your feedback. Working together, we believe we can attain optimal outcomes.

Contact us

Please contact us if you have questions about the information in this guide, or our plans and programs. The terms of your agreement or applicable law supersede this guide if a conflict arises.

Note

The term “health care professional” used throughout this guide is referred to as “provider” in your participation agreement.

Access the guide by using the dropdown box below to select your state. If city or regional names are indented below your state's name, choose the specific area that best matches your location. Then click the button next to the dropdown menu.

PDF

 

The Cigna Reference Guide can be accessed in PDF format. To open these documents, you must have Adobe Acrobat Reader 4.0 or higher. Click here to download this free software.

Note: The latest versions of these documents are available online. Notice of modifications will be provided in accordance with applicable law and your agreement with Cigna. Look for information about updates in Network News, your health care professional newsletter.