1 Cornerstone Alliance Annual Cigna Update September 16, 2015 Presenter: Elizabeth Hamilton, HCP Solutions

2 Today’s Topics Electronic Tools & Resources - Reminders Communication Recent Updates EFT Updates Milliman Study Working with Cigna Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna

3 Verify Patient & Claim information Cost of Care Estimator Tool Submit & View Precertification Requests Clinical & Reimbursement Resources Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna

4 Cigna Cost of Care Estimator Estimate out of pocket cost pre-care Eliminate financial surprises Reduce patient bad debt Share printed copy with your patients Facilitate financial discussion

5 Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna

6 Popular Resources –Reference Guides –Coverage Policies –Reimbursement & Payment Policies –Modifier Policies –Full Outpatient Precertification list –Drug List

7 Learning Resources for Cigna has several resources available for learning to navigate our website: –Site Tour –On Site Training –Monthly Webinar Schedules –eCourses

8 Communication Quarterly Newsletter Mailings/Notifications HCP Experience Consultant Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna To receive our digital quarterly newsletter containing Cigna updates, please send an to: and include your name/organization/TIN #/ address.

9 Recent Updates Appeal form updated (April 2015) ICD-10 FAQ’s Updated Coverage Policy Updates (October 2015) Newly Designated Call Centers –Radiology/PT/OT Interpretation and Translation Services

10 EFT Updates Enrollment now available with CAQH EFT for Great West (October 2015) Deposits increased frequency Payment bulking available by NPI

11 Milliman Study Cost savings per transaction: Claims$2.23 Eligibility & Benefit Verification $3.07 Prior Authorization $8.93 Claim Status Inquiry $1.23 Claim Payment $3.04 Remittance Reports $4.17

Working with Cigna Physician Advisory Council Meeting/Training Opportunities Reoccuring Issues Feedback 12

13 "Cigna" is a registered service mark and the "Tree of Life" logo is a service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc /11 © 2012 Cigna Questions?