NY/NJ/CT — Cigna Healthcare®
NY/NJ/CT — Cigna Healthcare®
Member ID Cards
- Cigna Healthcare® PPO Network, administered by Oxbridge Health
- Member ID Cards may also include MVP network (NY state only)
Prior-Authorizations for Medical & Pharmacy
Medical Prior-Authorizations
For medical prior authorizations, please call (833) 246-5513 to confirm member eligibility and benefits before proceeding with prior authorization. You must have the following information available:
- Member name, DOB, and ID
- Provider name and contact information (address and phone)
- Provider name and contact information (address and phone)
- Diagnosis code
- Procedure code
- Dates of service
- Type of Inpatient or Outpatient Service
Providers may also visit https://secure.healthx.com/sshprovider.asp
Pharmacy Prior Authorizations
Network Pricing Disputes: Cigna Appeals Unit, PO Box 188011, Chattanooga, TN 37422
Provider Disputes: Reflect Health, PO Box 40825, Cincinnati, OH 45240 / Fax to: (513) 772-9174
Pharmacy Directory
RxAdvance (Pharmacy Benefit Manager)
Pharmacy Locator (coming soon)
Pharmacy Cost Estimator (coming soon)
Pharmacy Member Portal (coming soon)
Formulary Lookup
Provider Forms Library
Preventive Care Services
Colonoscopy Coding Provider Guidelines
Claims Submission & Payment
Claims Submission
Mail to: Cigna Medical Claims, PO Box 188061, Chattanooga, TN 37422
Payor ID: 62308
Claims Submission & Payment Status
Access claims submission history, total payment, and member payment information by logging on to your Provider Portal (coming soon).
To check on the status of your claims, call (833) 246-5513
Member Eligibility & Benefits
Verify Member Details, Current Coverage Details, Accumulators, and Plan Benefits
To verify, you have the following options:
- Login to the Provider Portal (coming soon)
- Or call: (833) 246-5513
Register for Provider Portal
Review the instructions here to register for the Provider Portal. The Portal allows users to view prior authorization status, claims and payment status, and member eligibility. After requesting access, a user will receive an email in 3-5 business days with login credentials and instructions.
Provider Reconsiderations & Appeals
Medical Claims
Fax to: (469) 228-4289
Or mail to: PO Box 1414, Westborough, MA 01581
Pharmacy Claims
To submit an appeal, fax your appeal with supporting documentation to the fax number on your denial letter.
The Cigna Healthcare® PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration.
Cigna Healthcare® is an independent company and not affiliated with Oxbridge Health. Access to the Cigna Healthcare PPO Network is available through the contractual relationship between Oxbridge Health and Cigna Healthcare. All Cigna Healthcare products are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property, Inc.