Healthspring Prior Authorization Form
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People also ask cigna prior auth form
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Why does Cigna require prior authorization?
Why does my health insurance company need a prior authorization? The prior authorization process gives your health insurance company a chance to review how necessary a medical treatment or medication may be in treating your condition. For example, some brand-name medications are very costly. -
Who sends the prior authorization form?
Under prior authorization, the provider or supplier submits the prior authorization request and receives the decision before services are rendered. -
What triggers a prior authorization?
The prior authorization process begins when a service prescribed by a patient's physician is not covered by their health insurance plan. Communication between the physician's office and the insurance company is necessary to handle the prior authorization. -
What is the phone number for Cigna eviCore prior authorization?
The quickest, most efficient way to obtain prior authorization is through the 24/7 self-service web portal at .evicore.com. Prior authorization can also be obtained via phone at 888.693. 3297. -
Does Cigna HealthSpring require prior authorization?
Cigna-HealthSpring Referral Policy Although a Prior Authorization may not be required for certain services, a REFERRAL from a PCP to a Specialist MUST BE in place. The Referral should indicate PCP approved for a consultation only or for consultation and treatment, including the number of PCP approved visits. -
How do I write a prior authorization request?
The following information is generally required for all prior authorization letters. The demographic information of the patient (name, date of birth, insurance ID number and more) Provider information (both referring and servicing provider) ... Requested service/procedure along with specific CPT/HCPCS codes. -
Does Cigna use eviCore?
eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides utilization management services for Cigna Healthcare. -
Does Cigna Healthspring require authorization?
Payment may be denied for services rendered without authorization. All final decisions concerning coverage and payment are based on plan, customer eligibility, the customer's benefits, the care provider's contract and applicable state law at the time of service delivery.
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