Get the free cigna dental specialty referral form

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How to fill out cigna dental specialty referral

Point by point guide on how to fill out a Cigna dental specialty referral:

1. Obtain the necessary referral form: Contact your dentist or visit the Cigna website to obtain the specific referral form for dental specialty services.
2. Provide patient information: Fill out the required fields on the referral form, such as the patient's name, date of birth, and contact information.
3. Specify the requested specialty service: Indicate the exact dental specialty service that is being referred, such as orthodontics, periodontics, or endodontics.
4. Include relevant dental history: Provide a brief summary of the patient's dental history and any relevant information related to the requested specialty service. This may include previous dental treatments, X-rays, or specific concerns.
5. Attach supporting documentation: If applicable, attach any supporting documentation that may be required, such as X-rays, dental images, or additional records related to the requested specialty service. Ensure that these documents are securely attached to the referral form.
6. Obtain necessary signatures: Sign the referral form as the referring dentist, indicating your approval and agreement to refer the patient for the specified specialty service. The patient may also need to sign the form to acknowledge their consent and understanding.
7. Submit the referral: Once the referral form is fully completed, submit it according to the specified method provided by Cigna. This may include mailing it directly or submitting through an online portal.

Who needs a Cigna dental specialty referral?

1. Patients requiring complex dental procedures: Individuals who require specialized dental services beyond the scope of general dentistry may need a Cigna dental specialty referral. This includes procedures such as oral surgery, periodontal treatment, or orthodontic procedures.
2. Patients seeking out-of-network services: If a patient wishes to receive dental care from a specialist who is not within their network, a referral may be necessary to ensure coverage and coordination of benefits with Cigna.
3. Patients with specific dental conditions: Patients with specific dental conditions or needs, such as impacted wisdom teeth, severe gum disease, or the need for root canal therapy, may require a referral to a dental specialist for proper evaluation and treatment.

Remember, it is important to consult with Cigna or your dental provider directly for specific guidance on filling out referral forms and determining the necessity of dental specialty referrals in your particular situation.

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What is cigna dental specialty referral?

Cigna dental specialty referral is a process used for referring patients to dental specialists within the Cigna network for specialized dental care.

Who is required to file cigna dental specialty referral?

The primary care dentist or referring provider is required to file the Cigna dental specialty referral for their patients who need specialized dental services.

How to fill out cigna dental specialty referral?

To fill out a Cigna dental specialty referral, the referring provider must complete the referral form including patient information, details of the dental condition, and the specialist's information.

What is the purpose of cigna dental specialty referral?

The purpose of a Cigna dental specialty referral is to ensure that patients receive the appropriate specialist care they need in a timely manner while managing authorization and payment processes.

What information must be reported on cigna dental specialty referral?

The information that must be reported includes patient details (name, ID number), referring provider information, brief description of the dental issue, and the recommended specialist's details.