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Cigna Pharmacy Credentialing Application 2008 free printable template

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A PHARMACY CREDENTIALING APPLICATION INSTRUCTIONS Thank you for your interest in joining the CIGNA Healthcare s Pharmacy Network.
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How to fill out Cigna Pharmacy Credentialing Application

01
Download the Cigna Pharmacy Credentialing Application form from the Cigna website.
02
Fill in your pharmacy's contact information including name, address, phone number, and email.
03
Provide the ownership details of the pharmacy including owners' names and their contact information.
04
Include the pharmacy's license number and expiration date, as well as any additional relevant licenses.
05
Fill out the professional qualifications and credentials of the staff, such as pharmacists and technicians.
06
Provide details about the services offered at your pharmacy, including specialty services.
07
Review the application to ensure all fields are completed accurately.
08
Sign and date the application where required.
09
Submit the completed application via the specified method, whether online or by mail.

Who needs Cigna Pharmacy Credentialing Application?

01
Pharmacies that wish to participate in Cigna's pharmacy network and provide services to Cigna members need to complete the Cigna Pharmacy Credentialing Application.
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The Cigna Pharmacy Credentialing Application is a formal application process for pharmacies seeking to participate in the Cigna pharmacy network, which involves verification of credentials, qualifications, and compliance with Cigna's policies.
Pharmacies that want to become Cigna network providers or maintain their status in the network are required to file the Cigna Pharmacy Credentialing Application.
To fill out the Cigna Pharmacy Credentialing Application, pharmacies must provide necessary documentation, complete all required sections accurately, and submit the application as directed by Cigna, usually through their online portal.
The purpose of the Cigna Pharmacy Credentialing Application is to ensure that pharmacies meet specific standards and requirements set by Cigna, thereby maintaining the integrity and quality of care within their pharmacy network.
The Cigna Pharmacy Credentialing Application requires reporting of various information including pharmacy ownership details, professional licenses, pharmacy services offered, and adherence to regulatory requirements.
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