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Get the free Cigna Transcranial Magnetic Stimulation (TMS) Request Form

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PRIOR AUTHORIZATION for TRANSCRANIAL MAGNETIC STIMULATION (TMS) and CRANIAL ELECTRICAL STIMULATION (CES) For authorization, please complete this form, include patient chart notes to document information
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01
Gather all the necessary information and documentation.
02
Start by filling out the personal information section, including your name, address, and contact information.
03
Move on to the medical history section and provide accurate details about your condition and any relevant medical treatments you have received.
04
Answer any additional questions regarding your mental health, such as previous diagnoses and medication history.
05
If applicable, provide details about your insurance coverage and policy information.
06
Review the filled-out form for any errors or missing information.
07
Sign and date the form, certifying that all the information provided is true and accurate.
08
Submit the completed form to the appropriate Cigna representative or healthcare provider.

Who needs cigna transcranial magnetic stimulation?

01
Cigna transcranial magnetic stimulation is typically recommended for individuals who are experiencing treatment-resistant depression.
02
It can be beneficial for those who have not responded well to other forms of antidepressant medications or therapies.
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It may also be suitable for individuals who prefer non-invasive and non-drug treatment options for their depression.
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Ultimately, the determination of whether someone needs Cigna transcranial magnetic stimulation should be made by a qualified healthcare professional based on a thorough evaluation of the individual's mental health condition.
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Cigna transcranial magnetic stimulation is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain.
Healthcare providers or facilities that offer transcranial magnetic stimulation services and bill Cigna for these services are required to file.
Providers must submit the necessary medical documentation, including the patient's diagnosis, treatment plan, and progress notes, along with the billing information to Cigna.
The purpose of cigna transcranial magnetic stimulation is to treat conditions such as depression, anxiety, and other mood disorders through targeted stimulation of specific areas of the brain.
Providers must report details of the patient's condition, the treatment provided, the duration of the session, and any relevant medical history.
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