2 The following services can be appealed.įind an in-network doctor, dentist, or facility If our Customer Service team cannot adjust the issue during that call, then our appeal process can be initiated through a written request. Many issues, including denials related to timely filing, incomplete claim submissions, and contract and fee schedule disputes may be quickly resolved through a real-time adjustment by providing requested or additional information. Most claim issues can be remedied quickly by providing requested information to a claim service center or contacting us.īefore beginning the appeals process, please call Cigna Customer Service at 1(800) 88Cigna (882-4462) to try to resolve the issue. The payment appeal process is different from routine requests for follow-up inquiries on claim processing errors or missing claim information. Following the internal Cigna process, arbitration may be used as a final resolution step.For claim denials relating to claim coding and bundling edits, a health care provider may have the option to request binding external review through the Billing Dispute Administrator.
An appeal process for resolving contractual disputes regarding post-service payment denials and payment disputes 1.If issues cannot be resolved informally, Cigna offers two options: Cigna strives to informally resolve issues raised by health care providers on initial contact whenever possible.
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