Electronic Data Interchange Vendors

Electronic Data Interchange Vendors

Automate your claims process and save

Filing paper claims can be time consuming. When you submit claims to Cigna electronically, including coordination of benefits (COB) claims, your practice can gain many benefits such as:

  • Quicker claims submission, including Dental Health Maintenance Organization (DHMO) network claims
  • Faster payments
  • Improve claims accuracy - reduce transcription errors and missing data
  • No printing and mailing costs
  • Spend less time resubmitting corrected claims
  • Reduce paperwork
  • 24/7 access to claims tracking
  • Lower operational costs
  • Fewer rejections and resubmissions
  • Faster responses and payment

These electronic data interchange (EDI) vendors1 securely transmit data electronically to Cigna. See below for special offers.

Cigna offers a direct connection implementation process for any provider, clearinghouse, billing service, or other EDI vendor (collectively "EDI Vendor") willing to connect to Cigna without charging Cigna for EDI transactions. In order to be considered for such an arrangement, EDI Vendors must be EHNAC HNAP-EHN accredited and CAQH Core Certified for the relevant EDI transactions. However, certification is not a guarantee of acceptance, there are other factors we must consider.

Email EDIConnectionRequest@Cigna.com for more information.

Offers are subject to change. Please contact the vendor directly for details.

Medical and Behavioral EDI VendorsClaim (837) Remittance (835)Claim Attachments (275)Eligibility Benefits and Claim Status Inquiry (270/271, 276/277)Precertification/Authorization (278)
Availity 1 (800) 282-4548 X   X  
Change Healthcare 1 (877) 469-3263
  X X
Eligible Inc. 1 (888) 909-3055     X  
Experian Health, Inc. 1 (888) 661-5657 X   270/271
Inmediata2 PR - 1 (787) 783-3233 US - 1 (877) 466-9656 X      
NantHealth 1 (888) 482-8057     X  
Office Ally 1 (360) 975-7000 X   X  
OptumInsight 1 (800) 341-6141 X   X  
PNT Data 1 (860) 257-2030 X   X X
SSI Group 1 (800) 881-2739 X   X  
TransUnion Healthcare, Inc. 1 (877) 732-6853     270/271
Trizetto Provider Solutions - Claim Logic 1 (866) 252-4656 X      
Trizetto Provider Solutions - Gateway EDI 1 (800) 969-3666 X   270/271
Waystar Health (formerly ZirMed or Navicure) 1 (844) 6WAYSTAR 1 (844) 692-9782 X      
Dental EDI VendorsClaim (837) Remittance (835)Claim Attachments (275)Eligibility Benefits and Claim Status Inquiry (270/271, 276/277)Precertification/Authorization (278)
Change Healthcare X X X  
DentalXChange 1 (877) 932-2567 X X X  
Inmediata2 PR - 1 (787) 783-3233 US - 1 (877) 466-9656 X      
NantHealth 1 (888) 482-8057     X  
Office Ally 1 (360) 975-7000 X   X  
PNT Data 1 (860) 257-2030 X   X  
Tesia 1 (800) 724-7240 X      
Trizetto Provider Solutions - Claim Logic 1 (866) 252-4656 X      

Special Offers

Unless otherwise specified, the special features and offers described are available for medical, dental, and behavioral providers.*

ABILITY Network (MD On-Line, Inc.) If you currently submit 100 percent of your claims to Cigna on paper, and agree to convert to electronic claims submission, you may be eligible to submit claims electronically for free through MD On-Line. You may also qualify for special offers on all payer solutions. For more information, go to mdol.com/Cigna or call 1 (888) 499-5465.

Change Healthcare (dental only)
Change Healthcare offers Dental Connect, a web-based application suite that will enable you to electronically submit claims directly to our national clearinghouse for processing, even if you don't have a practice management system. This can help your dental practice to:

  • Eliminate postage, printing, and envelope costs associated with paper claim submission
  • Improve staff efficiency through automated notification of claim receipt, status, and payment
  • Improve cash flow and outstanding receivables
  • Submit claim attachments electronically

Bundled pricing starts at $19.95 per month. To register, go to Dental.ChangeHealthcare.com. Click Register for Dental Connect, and follow the registration prompts. Enter the Promotional Code "CIGNADC2018" at the bottom of the online registration form. For more information, or if you have questions about the registration process, contact the Change Healthcare Dental Support team at DentalSupport@ChangeHealthcare.com or 1 (888)255-7293, option 2.

DentalXChange (dental only) DentalXChange offers an easy, direct-data entry application that allows dental practices with internet access (with or without a practice management system) to submit claims online. Learn more on the DentalXChange website (DentalXChange.com).

Office Ally Office Ally offers an online claim data entry tool for providers who have internet access, but don't have an EDI-capable system, as well as a FREE Practice Management System. You can use these tools to submit claims to Cigna. If you need help getting started, Office Ally offers unlimited training and free onshore Customer Support which is available 24 hours a day, seven days a week. To get started, you can schedule your free training session with an Office Ally technician online at https://cms.OfficeAlly.com/Pages/Support.aspx or by calling 1 (360) 975-7000, option 5.

1EDI vendor information is as of 5/1/19 and is subject to change. Any reference to the products, services, information or websites of any non-Cigna-affiliated entity is provided for informational purposes only. Cigna does not endorse or guarantee the products, services, information, or websites of such entities.

2Puerto Rico and U.S. Virgin Islands only.