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
• Interactive Electronic Data Interchange (EDI) Transactions
• Electronic Funds Transfer (Direct Deposit)
• Universal Credentialing DataSource from the Council for Affordable Quality Health Care (CAQH)
• Interactive Voice Response (IVR)

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.

Try the online demo or visit www.cignaforhcp.com to become a registered user.

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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. Read more about interactive EDI transactions (PDF).

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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. Read more about direct deposit (PDF).

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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 about the universal credentialing tool (PDF). Or visit www.caqh.org for more information.

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Interactive Voice Response (IVR)

Many of your routine questions—such as eligibility and coverage questions—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. Read more about IVR (PDF).

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