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BEHAVIORAL QUICK REFERENCE GUIDE - Cigna

All Evernorth products and services are provided exclusively by or through operating subsidiaries of Evernorth, including Evernorth Care Solutions, Inc., and Evernorth BEHAVIORAL Health, Inc. The Evernorth name, logo, and other Evernorth marks are owned by Evernorth Intellectual Property, Inc. 2021 Evernorth. PCOMM-2020-1098 Page 1 of 3 If you have questions about benefits administration for a patient with Cigna -administered coverage, you can quickly find key information on their ID card. Cigna ID number The format of a Cigna ID number will indicate the type of plan your patient has. See the examples below. ID number identifiers ID number examples Plan type Begins with U U12345678, U19283746, U1233218903 Standard Cigna plan Numerical and begins with a 10 101234567, 109876543, 10918273601 Cigna Connect Individual, Family Plans Cigna SureFit Numerical, nine digits, begins with a year ( , 20: 2020 ) 201234567, 199876543, 201222333*O Employee Assistance Program (EAP) code ID number follows no pattern or format 12M345678, A3456789102, 5Q67L8PK9 Possibly a plan administered by a third party Plan contact information 1 For applied behavior analysis (ABA) benefits/eligibility, call the Autism Case Coordinator team at 2 ABA requests can be made through the Assessment Req

There are three ways to submit claims to Evernorth: Via mail, fax, or an electronic data interchange (EDI) vendor. Depending on your patient’s plan, the mailing or fax address will be different. However, when using an EDI vendor, the ... Most providers include their cash-pay rate. j. Rendering provider’s individual National Provider ...

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