Health Care Service Corporation has acquired The Cigna Group Medicare business.
Members of the Cigna Healthcare Medicare Advantage, Medicare Supplement insurance, and Medicare Part D prescription plans do not need to take any action and will remain covered by their existing Cigna Healthcare plan for the duration of the 2025 plan year.
Learn More
Reminder: Centers for Medicare & Medicaid Services prohibition on billing Qualified Medicare Beneficiaries. Learn more.
Get immediate code edit audit results with Clear Claim Connection™ via HSConnect. Improve claim accuracy by identifying potential errors in advance. Simply enter Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes into Clear Claim Connection to immediately view audit results. You can access the Clear Claim Connection code edit audit tool from your dashboard on HSConnect.
Please refer to the link below for PHE updates on changes to authorization requirements.
https://www.phe.gov/emergency/news/healthactions/phe/Pages/default.aspxt
HSConnect Provider Portal User’s Guide
The HSConnect Portal Enhancement Resource Guide is your comprehensive source for information about the portal, including answers to frequently asked questions, and where to find additional resources and support. To open the guide, click on the link
For Arizona Medicare Advantage portal access, please visit https://cignaforhcp.cigna.com/app/login.
Prior authorization requirements and forms
As a reminder, you can find prior authorization requirements and forms on the Cigna Medicare Advantage website for providers. Go to MedicareProviders.Cigna.com > Find a Form.
Support for providers
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Description
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Contact
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General questions – Cigna Medicare Advantage (except Leon/Miami)
Claims, eligibility, benefits, copayments, status of claims and prior authorizations, and other inquiries (e.g., Prior authorization required?)
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Provider Customer Service
Monday-Friday, 7:00 a.m.-9:00 p.m. ET
800.627.7534 – Arizona only
800.230.6138 – all other states
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HSConnect Provider Portal support
New accounts, password changes, questions, and general help
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HSConnect Help Desk
Monday-Friday, 7:00 a.m.-4:30 p.m. CT
866.952.7596, option 2
HSConnectHelp@HSConnectOnline.com
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Complaints, questions, and training information
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Your Network Operations Representative
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Referral requests and prior authorization requests
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Provider Customer Service
Monday-Friday, 8:00 a.m.-5:00 p.m. CT
800.627.7534 – Arizona only
800.230.6138 – all other states
or fax your request to one of the numbers listed in the How to Contact Us for Referral or Authorization Requests document in the Documents section of the HSConnect provider portal. You must log in to view the Documents section.
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As of June 30, 2021- eviCore will process pre-certification requests for procedure codes related to musculoskeletal pain and joint management for Medicare Advantage plans with some exclusions. Requests may be entered directly at eviCore.com.