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New: 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 appropriate link below.

 

Training for new users

To receive your login credentials, you must complete the Provider Portal Enhancement General Functionality module. We also encourage you to review the following training modules:

 

 

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

 

Description

Contact

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?)

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

HSConnect provider portal support  (Leon/Miami only) 

New accounts, password changes, and general help

LMCHP Provider Relations

305.646.3776 or

305.631.5242

LMCHPProviderRelations@Cigna.com  

HSConnect Provider Portal support (except Leon/Miami)

New accounts, password changes, questions, and general help

HSConnect Help Desk 

Monday-Friday, 7:00 a.m.-4:30 p.m. CT 

866.952.7596, option 2

HSConnectHelp@HSConnectOnline.com

Complaints, questions, and training information

Your Network Operations Representative

Referral requests and prior authorization requests

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.

 

 

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.

 

 

Please use this Google Chrome browser when accessing the Provider Portal. The Provider Portal is only fully compatible with Google Chrome.

It is recommended to periodically Clear Browsing Data for the best Provider Portal performance.