 Great-West Healthcare Integration News
CIGNA continues to consolidate the former Great-West Healthcare network. Health care professionals are reminded to continue to use the standard processes you have been using for your patients with Great-West Healthcare coverage, including:
- Claims addresses and electronic data interchange (EDI) payer identification numbers;
- Contact information to verify eligibility and benefits, check claim status, or submit precertification requests; and
- Provider service telephone numbers, contacts and websites (www.greatwesthealthcare.com/providers).
Precertification Lists
As of January 1, 2009, CIGNA and former Great-West Healthcare now use one combined precertification list. The master precertification list is available on our secure websites: www.greatwesthealthcare.com and www.cigna.com.
Coverage Policies
As of December 15, 2008, most CIGNA and former Great-West Healthcare coverage policies were consolidated. There are 15 CIGNA coverage policies and 12 Great-West Healthcare coverage policies that have not been consolidated, and they are clearly indicated on the combined list. The complete list of consolidated coverage policies is available on www.greatwesthealthcare.com and www.cigna.com.
Transplant Network Integration
CIGNA LifeSOURCE Transplant Network® is now the transplant network provider for patients covered under Great-West Healthcare administered plans. Transplant services initiated prior to October 1, 2008, will continue to be administered through the Optum Health/URN Transplant Network of participating health care professionals.
Outlook 2009 – Planned Integration Activities
Reference Guides
We are beginning the process of aligning the reference guides applicable to both the CIGNA and former Great-West Healthcare provider agreements. You will find common layouts and formats between the two guides, and aligned information where appropriate. The Great-West Healthcare and CIGNA reference guides are still two separate documents and each include policies and procedures that are not yet aligned.
For the Great-West Healthcare, now part of CIGNA Reference Guide, go to www.greatwesthealthcare.com/providers. For the CIGNA Physicians, Hospitals, Ancillaries, and other Health Care Professionals Reference Guide go to www.cignaforhcp.com.
Great-West Healthcare Secure Provider Portal
The Secure Provider Portal is your online resource for electronic transactions, and online information and support. By mid-year, we will unveil a new, redesigned site with improved navigation and streamlined information to make your online experience even more useful. The website address will remain the same: www.greatwesthealthcare.com/providers.
EDI and eServices Message
To determine where to go when you have questions regarding a particular patient’s coverage, refer to the patient’s ID card which identifies the provider service telephone number and website. We are working on changes and enhancements which will be communicated as they are implemented. For more information, review the Great-West Healthcare Integration Frequently Asked Questions available on www.greatwesthealthcare.com and www.cignaforhcp.com.
Network Participation
In most markets, CIGNA now has two networks: the CIGNA network and the network that CIGNA acquired from Great-West Healthcare. If you are currently contracted for only one of these networks, you are considered participating only in that one network. If you wish to be considered for participation in the other, contact:
CIGNA
1.800.88CIGNA (882.4462)
Great-West Healthcare
1.888.663.8081
CIGNA is committed to providing you with the best possible service. We look forward to continuing our relationship with you to support the delivery of quality health care to your patients.
For More Information
A Contact Support Tool and Frequently Asked Questions are available on each website. We will communicate changes that may impact you and your practice over the coming months. Continue to visit us online for additional information:
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CIGNA for Health Care Professionals 1.800.88CIGNA (882.4462)
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Great-West Healthcare Secure Provider Portal 1.800.663.8081
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Web Address
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www.cignaforhcp.com
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www.greatwesthealthcare.com/providers
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Contact Support Tool
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Click on “Important Information: Great-West Healthcare is now part of CIGNA” in the News You Can Use column
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Information located on the main web page
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Frequently Asked Questions
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Click on “Important Information: Great-West Healthcare is now part of CIGNA” in the News You Can Use column
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Information located on the main web page
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