How do I get my prior authorization from Cigna?

How do I get my prior authorization from Cigna?

If you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request.

Does Cigna Cover Simponi aria?

Cigna covers golimumab (Simponi Aria®) as medically necessary when the following criteria are met for FDA Indications or Other Uses with Supportive Evidence: Prior authorization is recommended for prescription benefit coverage of Simponi Aria.

Where do I fax Cigna prior authorization?

Prior Authorization Request Form–OUTPATIENT

  1. Prior Authorization Request Form–OUTPATIENT.
  2. Please fax to: 1-800-931-0145 (Home Health Services) 1-866-464-0707 (All Other Requests) | Phone: 1-888-454-0013.
  3. *Required Field – please complete all required fields to avoid delay in processing.
  4. INT_13_11381 09242013.

Does Cigna allow retro authorization?

Cigna-HealthSpring does require the retro authorization request and applicable clinical information to be submitted to the Health Services department within 1 business day of providing the service.

What is a prior authorization form?

A prior authorization (PA), sometimes referred to as a “pre-authorization,” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

What information is required for a prior authorization?

Here is a sample prior authorization request form. Identifying information for the member/patient such as: Name, gender, date of birth, address, health insurance ID number and other contact information.

Is golimumab covered by insurance?

Depending on the health insurance plan, savings may apply toward co-pay, co-insurance or deductible. Eligible patients pay $5 per injection with a $20,000 maximum program benefit per calendar year.

Does Cigna HealthSpring require prior authorization?

Prior Authorizations may be obtained via HealthSpring Connect (HSC) or as otherwise indicated in the Health Services section of the 2016 Provider Manual. Rendering providers should VERIFY that a Prior Authorization has been granted BEFORE any service requiring a Prior Authorization is rendered.

How do I get a retro authorization?

Call 1-866-409-5958 and have available the provider NPI, fax number to receive the fax-back document, member ID number, authorization dates requested, and authorization number (if obtained previously). The request for a retro-authorization only guarantees consideration of the request.

When is a prior authorization needed?

Prior authorization for prescription drugs is required when your insurance company asks your physician to get specific medications approved by the insurance company. Prior authorization must be provided before the insurance company will provide full (or any) coverage for those medications.