1. NEW PRECERTIFICATION INFORMATION PAGE ON CIGNAFORHCP.COM
June 2018
Offered by Cigna Health and Life Insurance Company or its affiliates
THN /18

2. NEW PRECERTIFICATION INFORMATION WEBSITE PAGE
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna

3. Introduction
The new precertification information website page seeks to promote a clearer understanding of what services require precertification and how to request it.
The page includes information on:
How to determine if precertification is required for a specific service.
How to request precertification for medications, medical procedures that Cigna manages, and medical procedures that our delegated national ancillary providers manage.
Frequently asked questions about our precertification program.
The page does not change our precertification policies or how to request precertification in any way.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna

4. Step 1: Determine if Precertification is Required
CignaforHCP.com > Log In > Useful Links > Precertification Policies
While the new precertification website page is available without logging in, providers must log in to view a list of the services that require precertification.
Once logged in, providers can access:
A list of services that require precertification
A copy of our precertification reimbursement policy
An outline of what has changed on the precertification list each month
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna

5. Step 2: Follow the right precertification process for the specific service
After determining if the service requires precertification, providers can request precertification in a number of ways.
For medications, request precertification through PromptPA.
For medical procedures that Cigna directly manages, request precertification:
At NaviNet.net
On our provider website (CignaforHCP.com > Patient > View and Submit Precertifications)
Using their practice management system or vendor
By calling us at Cigna ( )
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna

6. When our national ancillary providers manage precertification for medical procedures
For certain services, we work with select national ancillary providers to manage the precertification process (and the administration of the services) for us.
For these services, providers should contact the national ancillary provider directly to request precertification and procure services (e.g., eviCore healthcare for high-technology imaging).
All of these national ancillary providers have dedicated phone numbers and websites to manage precertification requests and questions related to precertification.
Providers can click the blue headers on the website of each ancillary provider to learn more about that relationship, including when and how to work with each of them.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna

7. When our national ancillary providers don’t manage precertification for medical procedures, but do manage the medical services.
For certain services, we work with select national ancillary providers to manage a network of providers or the administration of the services for us.
Providers should first determine if the services require precertification (e.g., molecular labs); and if so, make any necessary precertification requests directly through Cigna.
Providers can then leverage the national ancillary’s network of providers to refer their patients to or obtain in-network services from (e.g., dialysis or laboratory).
Providers can also get information about national ancillaries that they must work through to procure certain materials for their patients (e.g., hearing aids).
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna

8. Frequently Asked Questions?
The page also includes a number of frequently asked questions and answers to support providers.
This information ranges from outlining the benefits of precertification, to who has to request it, and what information is needed to request precertification for a medication.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna

9. How to access the new precertification information website page
CignaforHCP.com/precertification
The new precertification page does not require the provider to log in to view. It can be accessed from the homepage of our provider website (CignaforHCP.com) by clicking on “Learn about the precertification process” or by visiting CignaforHCP.com/precertification directly.
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna

10. Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company.
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
All models are used for illustrative purposes only.
THN / © 2018 Cigna. Some content provided under license.