Cigna Insurance Form

A note for group sponsored plans.

Cigna insurance form. Please use a separate claim form for each health care professional and for each member of your family. C cigna worldwide general insurance company limited. The forms are also to be used for cigna behavioral health. These forms may only be used if your employer is head quartered in the commonwealth of virginia and you are enrolled in a medical behavioral pharmacy or dental plan that is underwritten by cigna health and life insurance company.

As indicated below some forms are available for online submission. Group health insurance and health benefit plans are insured or administered by chlic connecticut general life insurance company cglic or their affiliates. 44 0 1475 492113 email. Individual and family medical and dental insurance plans are insured by cigna health and life insurance company chlic cigna healthcare of arizona inc cigna healthcare of illinois inc and cigna healthcare of north carolina inc.

Cigna uk healthcare benefits 1 knowe road greenock pa15 4rj. 44 0 1475 788182 fax. These laws govern amazon cigna and your employer s health plan your data is protected. If you have any questions you have any questions call us on 01475 492351.

Or d cigna europe insurance company s a n v. Group health insurance and health benefit plans are insured or administered by chlic connecticut general life insurance company cglic or their affiliates. These forms are related to your medicare plan from cigna. Mail your completed claim form s with original itemized bill s attached to the cigna healthcare claims office printed on your cigna healthcare id card.

Cigna global health options 1 knowe road greenock pa15 4rj scotland tel. If you want to obtain a copy of your health care information that cigna maintains or obtain a copy of your health care diagnosis and treatment code information use this form. In addition when using this skill please understand that your protected health information is safeguarded by state and federal data privacy laws including the health insurance portability and accountability act of 1996 hipaa. Alternatively you can send the forms by post to.

To make a request print and complete the appropriate form and mail it to the address indicated on the form. Only forms with an asterisk also apply to group sponsored plans. Follow the instructions for filing a claim on page 2 to guide you through the steps required to help ensure your claim is processed correctly. To send a form via the web simply click on the online form link and follow the instructions to enter the appropriate information.

If you have any questions please contact us at the phone number listed on the back of your identification card. Please do so within 90 days and remember to include your name and cigna id number within the email.