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Home Providers Coverage and ClaimsPrior Authorizations & Precertifications

Prior Authorization

How to request precertifications and prior authorizations for patients.

Depending on a patient's plan, you may be required to request a prior authorization or precertification for any number of prescriptions or services. A full list of CPT codes are available on the CignaforHCP portal.

For Medical Services

  • Description of service
  • Start date of service
  • End date of service
  • Service code if available (HCPCS/CPT)

To better serve our providers, business partners, and patients, the Cigna Coverage Review Department is transitioning from PromptPA, fax, and phone coverage reviews (also called prior authorizations) to Electronic Prior Authorizations (ePAs). ePAs save time and help patients receive their medications faster. Moving forward, please visit CoverMyMeds or via SureScripts in your EHR to learn more and submit all new PA requests electronically.

If you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request.

Related Documents

Indiana Prior Authorization Form [PDF] MA Cardiac Imaging Prior Authorization Form [PDF] MA CT/CTA/MRI/MRA Prior Authorization Form [PDF] MA PET - PET CT Prior Authorization Form [PDF] Massachusetts Behavioral Health Prior Authorization Form [PDF] Massachusetts Transcranial Magnetic Stimulation Prior Authorization Form [PDF] Texas Standard Prior Authorization Request Form for Health Care Services [PDF] Vermont Uniform Medical Prior Authorization [PDF] View more prior authorization forms at CignaforHCP

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Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

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