Parties
Identifies the contracting entities by legal name, tax identifiers, and business addresses; critical for enforcement and billing alignment.
A well-drafted Healthcare Cigna Contract clarifies reimbursement rules, reduces claim denials, and documents compliance with HIPAA and payer policies, creating predictable payment flows and minimizing disputes between provider and payer.
The contract involves multiple stakeholders from both the provider and the payer; alignment between clinical, billing, legal, and administrative teams is important.
Final signatories typically include authorized executives for the provider and an authorized representative of Cigna or its delegated plan administrator.
Chief Medical Officer or CEO reviews clinical, quality and compliance obligations, evaluates financial impact, and confirms that delegated services and reporting obligations align with internal policies before signing.
Contract manager or network executive at Cigna (or delegated plan) ensures operational terms, credentialing timelines, fee schedules, and prior authorization workflows are included and authorizes the payer-side signature.
| Field | Configuration |
|---|---|
| Signature Block | Add signature, printed name, title, and date fields |
| Attachments | Require W-9, NPI copy, and malpractice certificates |
| Signer Order | Set payer-side review before provider final signature |
| Authentication | Use email plus SMS or MFA for high-trust signers |
Platforms used to sign and store Cigna contracts must support secure authentication, audit trails, and HIPAA-compliant handling of PHI when applicable.
Identifies the contracting entities by legal name, tax identifiers, and business addresses; critical for enforcement and billing alignment.
Defines covered services, CPT/HCPCS code applicability, pre-authorization requirements, and exclusions to avoid later coverage disputes.
Specifies fee schedules, bundled payment rules, claim submission formats, timely filing limits, and mechanisms for retroactive adjustments.
Requires HIPAA compliance, inclusion of BAA when PHI is exchanged, and outlines audit and security expectations for data handling.
Describes notice periods, cure rights, immediate termination triggers, and the process for resolving open claims at termination.
Covers negotiation, internal appeal timing, mediation or arbitration clauses, and the governing law for legal disputes.
Date when contract obligations and coverage commence
Claims must meet payer's filing window stated in the contract
Internal appeal windows typically 30–180 days per contract terms
Advance notice period required for non-renewal
Credentialing and enrollment timelines defined by payer policy
Complete term and rate discussions and draft final language
Finalize credentialing and provider enrollment before effective date
Obtain authorized signatures and confirm receipt of executed copies
Activate billing and claims routing once execution and credentialing are complete
A midsize hospital negotiated bundled rates for joint replacement
An independent physician group required a rapid credentialing addendum
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |