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 PHCS or MVP networks (NY state only)
Prior-Authorizations for Medical & Pharmacy
Medical Prior-Authorizations
For medical prior authorizations, please call (888) 744-7441 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
Pharmacy Prior Authorizations
Complete the form: Pharmacy Prior Authorization Form
And fax to: (469) 253-6137
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
Prior Authorization Form, Pharmacy
Prior Authorization Form, Medical
Provider Appeals and Reconsideration Form, Pharmacy
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 (888) 744-7441
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)
- Submit an EDI 270 to Clearinghouse
- Or call: (888) 744-7441
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
Complete: Provider Dispute Request
Call: (888) 744-7441
Fax to: (469) 228-4289
Or mail to: PO Box 1414, Westborough, MA 01581
Pharmacy Claims
Complete: Provider Dispute Request
Fax to: (469) 253-6137
Or mail to: PO Box 1433, Westborough, MA 01581
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.