Practice Management Tools
Spend more time with your patients and less time on paperwork
Provider Solutions – our practice management tools – were developed with you and your busy schedule in mind. You and your staff can stop spending time on the phone with representatives... now you can get information and run your practice at your convenience. Please contact us if you'd like more information about any of these tools:
CIGNA for Health Care Professionals
With this secure, online tool you can:
- check your patients' CIGNA HealthCare medical benefits, eligibility details and claim status;
- get answers to your questions about member benefits, claim coding and covered services; and
- share access with your designated office staff.
Visit www.cignaforhcp.com to become a registered user or try the demo.
Interactive Electronic Data Interchange (EDI) Transactions
Submit eligibility and benefit inquiries, claim status inquiries and prior authorization requests without having to call CIGNA HealthCare. Your requests are sent through one of the clearinghouses we work with, and you'll receive a response in less than 20 seconds.
Electronic Funds Transfer (Direct Deposit)
As a contracted provider, you can use direct deposit to help speed claim payments, to get immediate access to your funds and to help improve cash flow.
Universal Credentialing DataSource from the Council for Affordable Quality Health Care (CAQH)
To simplify the credentialing process, CAQH uses a standard application that is submitted to one secure database. That means you may now have to complete only one credentialing application for all participating plans, making the credentialing process easier and more cost-efficient for you. Read more about our credentialing process or visit http://www.caqh.org for more information.
Interactive Voice Response (IVR)
Many of your routine questions – such as eligibility and coverage questions &ndash can be answered without the help of a representative. With IVR, you and your staff have access to information through your touchtone telephone. You don't have to wait for voice prompts or waste time waiting for a representative.
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