 CIGNA Cost of Care Estimator Enhancements®
The CIGNA Cost of Care Estimator® can help accurately estimate what your patients with CIGNA administered plans may owe for your services. The tool provides a printed Explanation of Estimate, which can be used to help your patients understand their benefits and out of pocket costs. Over 70,000 estimates have been generated since April 2009, highlighting more than $6.5 million in patient liability.
The information provided on the estimate can help set financial expectations for you and your patients by helping them understand their costs and what you can expect to be paid from CIGNA on their behalf. This information can help minimize your patient billing administrative costs, which can help lower patient bad debt and shorten your revenue cycle.
New Accessibility
Once you log in to the CIGNA for Health Care Professionals website (www.cignaforhcp.com) there are two easy ways to access the Estimator.
- Click Estimate Patient Liability to search for your patient and create an estimate, or
- Click Verify Eligibility and Benefits to search for your patient. While you are reviewing the patient’s eligibility and benefits, click Estimate Costs to create an estimate.
After you enter some basic information about your patient and the service(s) to be provided, you will receive an estimate that details the total cost, how your patient’s CIGNA coverage is applied, and what they can expect to pay from their CIGNA health accounts and/or out of pocket, based on information available at the time the estimate is generated.
Enhanced Features
The Estimator is now available for inpatient and outpatient facility services/treatments as well as all professional services in all care settings (e.g., outpatient, facility, specialty), for your patients enrolled in:
- CIGNA Preferred Provider Organization (PPO),
- Open Access Plus (OAP),
- Open Access Plus In-network (OAPIN), and
- Exclusive Provider Organization (EPO) health plans, including all individuals covered by a CIGNA Choice Fund® plan.
The printed Explanation of Estimate has been improved to indicate if your patient has funds available in their Health Savings Account (HSA), Flexible Spending Account (FSA), or Health Reimbursement Account (HRA) for those patients with automatic claim forwarding (ACF) enabled. For additional information about ACF, log in to www.cignaforhcp.com > Resources > CIGNA Choice Fund to read the Frequently Asked Questions (FAQs).
CIGNA is working to improve the way we interact with you to help enhance your experience and reduce the cost and complexity of doing business with us. We support the use of electronic data exchange and self-service capabilities by participating in industry initiatives and offering online tools, such as the CIGNA Cost of Care Estimator, as a way to help streamline your interactions with us.  |
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