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Singular Coverage Determination (FOR PROVIDER USE ONLY) MEMBER INFORMATION REQUIRED (Please Write Legibly) Customer Name:Customer ID:Customer DOB:Customer Address:Phone (Home):Phone (Cell):PROVIDER
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How to fill out coverage determination - cigna

01
Contact Cigna customer service or log into your online account.
02
Fill out the necessary forms provided by Cigna.
03
Provide all required information, including medical records and prescription details.
04
Submit the completed forms and information to Cigna for review.
05
Wait for a determination from Cigna regarding your coverage.

Who needs coverage determination - cigna?

01
Members who have questions about their coverage for a specific medication or treatment.
02
Healthcare providers who are seeking approval for a specific medication or treatment for their patients.
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Coverage determination is the decision made by Cigna regarding whether a particular medical service or treatment is covered under a member's insurance plan.
Healthcare providers are required to file coverage determinations on behalf of their patients with Cigna.
Healthcare providers can fill out coverage determination forms online through Cigna's provider portal or by contacting Cigna directly.
The purpose of coverage determination is to ensure that members receive the appropriate coverage for medically necessary services and treatments.
The information that must be reported on coverage determination includes the member's personal details, the healthcare provider's information, the specific medical service or treatment being requested, and supporting medical documentation.
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