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
Provider Appeals and Reconsideration Form, Medical
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