Po box 188061 chattanooga tn 37422 8061

P.O. Box 188061, Chattanooga, TN 37422-8061 . Payer ID 62308 . Explanation of Payment (EOP) — You’ll receive an EOP for billed services with processing information for the visit. Pharmacy — Call MedImpact at . 1-80 0-788-2949, 24 hours a day, 7 days a week. Be sure to have the member’s full name, date of birth, and medical record number ...

Po box 188061 chattanooga tn 37422 8061. Mail the completed Appeal Request Form or Appeal Letter along with all supporting documentation to the address below: If the ID card indicates: Cigna Network If the ID card indicates: GW - Cigna Network Cigna Appeals Unit Cigna Appeals Unit. P.O. Box 188011 P.O. Box 188062 Chattanooga, TN 37422-8011 Chattanooga, TN 37422-8062.

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Cigna: PO Box 188061 , Chattanooga, TN 37422-8061 PRIMARY MEDICAL NETWORK: Cigna To find a Cigna provider, please visit MyCigna.com. Carry this card at all times. Failure to comply with precertification as specified by the plan may result in a reduction of benefits. Possession of this card or obtaining precertification does not guarantee coverage.Cigna, PO Box 188061, Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 Eligibility/Claims: (877) 657-5030 Please submit all Medical, Dental, other non-medical claims, and correspondence to: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369 Electronic Payor ID: 87843 PO Box 188061 Chattanooga, Tennessee 37422-8061 Electronically Payer ID: 62308 . Frequently asked questions ... PO Box 188061 Chattanooga, TN 37422-8061 Springfield MA 01104 877.657.5030 www.wellfleetstudent.com, CIGNA PO Box 188061. Chattanooga, TN 37422-8061. Electronic Payor ID: 62308. Bursar's Office.4Most PPO# Phone Number: 800-266-5896 Claims Address: 4Most PPO, PO Box 6743, Lubbock TX 79493 Website: http://www.4most.com EDI Info: Not available CIGNA# Phone ...PO Box 188011 Chattanooga, TN 37422. Cigna Healthcare Medicare Attn: Part C Appeals (Medical) PO Box 188081 Chattanooga, TN 37422. Cigna Healthcare Inc. National Appeals Unit (NAO) PO Box 188011 Chattanooga, TN 37422. For appeals relating to high-tech radiology and diagnostic cardiology services.PO Box 188061 Chattanooga, TN 37422-8061 www.cigna.com You can confirm a provider is participating in the Cigna PPO network by calling: 877.657.5039. Pre-Certification is required for the following services: All Inpatient Hospitalization, High Risk Maternity, Routine Maternity (if Inpatient stay exceeds federal

P.O. Box 15369 P.O. Box 196 Springfield, MA 01115 Stillwater, MN 55082 www.wellfleetstudent.com (800) 328-2739 ... PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 Find Network Provider Wellfleet Student or Cigna OAP www.cigna.com (877) 657-5030PO Box 188061 Chattanooga, TN 37422-8061 or Payer ID: 62308 Cigna will forward priced claims to Allegiance electronically for processing. Claims submitted electronically will be …EPB Fiber Optics is a popular internet and cable provider in Chattanooga, Tennessee. The company offers high-speed internet, cable TV, and phone services to residents and businesse...PO Box 188061 . Chattanooga, TN 37422-8061 . Payer ID: 62308 . Medical Mutual SuperMed PPO network. Services rendered in Ohio, and Campbell, Boone and Kenton counties in Kentucky Medical Mutual Claims . PO Box 6018 : Cleveland, OH 44101-1018 . Payer ID: 29076 . Sample ID cards – For illustrative purposes only. 1.P.O. Box 3018 Missoula, MT 59806-3018 Toll Free: 800-877-1122 Local: 406-721-2222. Companies Allegiance Benefit Plan Management, Inc. Allegiance Advantage Allegiance COBRA Services, Inc. Allegiance Life & Health Insurance Company, Inc. Allegiance Care Management. CAA Customer Balance Billing Disclosure Out of Network ... P.O. Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 1.We must receive your claim form within a specific period of time from the date you received the service, unless your plan or state laws allow for more time. Cigna + Oscar coverage is insured by Cigna Health and Life Insurance Company. Benefits are administered by Mulberry Wellfleet Student Insurance Company (877) 657-5030 [email protected] Wellfleet Pharmacy Network Wellfleet Rx (888) 265-7884 [email protected] Network Cigna OAP (Open Access Plus) PO Box 188061 Chattanooga, TN 37422-8061 www.cigna.com

Medical Claims Submissions. Providers file claims to Cigna. Electronic Payer ID#: 62308. Address: P.O. Box 188061. CTIVE. 10/21/2. Chattanooga, TN 37422-8061.Bills for medical services should be submitted to Cigna, PO Box 188061, Chattanooga, TN 37422-8061. Can my spouse and children be covered under the student insurance? No. Are there different times you can purchase the insurance besides fall and spring? Yes. Please see the Enrollment Form or Brochure for the details of coverage periods. We've brought together the power of Cigna's national and local provider networks and Oscar's innovative digital member experience. Learn more or contact us 1-855-672-2755 PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug ProviderPO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider For information about the Wellfleet Rx/ESI Prescription Drug Program, please visit www.wellfleetstudent.com Your plan includes Wellfleet Rx – offering over 40 generics at a $0 copay. Please ask your health careFor costs and details of coverage, see your plan documents. Policy forms: OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. (CHLIC). Your employer may offer an Exclusive Provider Organization (EPO) plan through Cigna Healthcare. Find out how it works so you can choose what’s best for you.

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Medical Claims PO Box 188061 Chattanooga, TN 37422-8061 Payer ID #62308 Rx Claims: Pharmacy Service Center, PO Box 188053, Chattanooga TN [PDF] Contact Information - Cigna P O Box 188011 Chattanooga, TN 37422 Fax: 1 877 815 4827 1 866 494 2111 Cigna GWH-Cigna National Appeals P O Box 668 Kennett, MO 63857EPB Fiber Optics is a popular internet and cable provider in Chattanooga, Tennessee. The company offers high-speed internet, cable TV, and phone services to residents and businesse...Below is the GWH-Great West Healthcare Cigna Claims address and phone number: PO Box 188061. Chattanooga, TN 37422-8061 …. Read more.PO Box 188061 Chattanooga, Tennessee 37422-8061 Electronically: Payer ID: 62308 You can also refer to the patient’s ID card for claim submission information. Do I need to collect the customer’s deductible or coinsurance at the time of service? No. Send your claims to Cigna for processing.PO Box 188050 Chattanooga, TN 37422-8050. Form 41C - Complete this questionnaire in full when you or a covered family member have: 1) coverage under any other health plan 2) automobile insurance that pays health care expenses without regard to fault 3) Medicare coverage, or 4) a workplace-related illness or injury. In this section. Partners. CIGNAPO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider

Medical Claims: PO Box 188061 Chattanooga, TN 37422-8061 Payer ID# 62308 Pharmacy Claims: Connecticut General Life Insurance Company Pharmacy Service Center PO Box 188053 Chattanooga, TN 37422-8053 Member and Pharmacy Help Line: 800-325-1404 Benefits are not Insured by Cigna or affiliates.Chattanooga, TN 37422. Fax: 1-833-635-2044. Be sure to include the following: Member’s first and last name. Molina Healthcare ID number. This is on the front of the Member ID Card Member’s address and telephone number. Explain the problem. We have a Member Appeal and Grievance Form you can use to file your appeal.P.O. Box 15369 P.O. Box 196 Springfield, MA 01115 Stillwater, MN 55082 www.wellfleetstudent.com (800) 328-2739 ... PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 Find Network Provider Wellfleet Student or Cigna OAP www.cigna.com (877) 657-5030Submit All Claims to: CIGNA PO Box 188061 Chattanooga, TN 37422-8061 To locate a CIGNA network provider, go online to www.cigna.com or you may call Customer Service toll-free at (844) 206-0372. To get a prescription, your pharmacy will need the following information: *Your Member ID # Bin#: 012924 RxPCN: AMER9999PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 For Non-Cigna PPO Providers: Wellfleet Group, LLC dba Wellfleet Administrators, LLC PO Box 15369 Springfield, MA 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Bills should be received by the Company within ninety (90) days of service.PO Box 188011 P.O. Box 188062 . Chattanooga, TN 37422 Chattanooga, TN 37422-8062 . If a decision is made to change the initial decision and issue additional payment, you may be notified of the payment adjustment through an Explanation of Payment (EOP) or Explanation of Benefits (EOB). If a decision is made to uphold our initial decision, you ...PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna claim Wellfleet Student www.wellfleetstudent.com or Cigna www.cigna.com Send Cigna claim to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug …... TN, 37068, 8002644000, , -. 137, 0007609, AETNA ... CHATTANOOGA, TN, 37402, , -. 541, 0001395, BCI ADMINISTRATORS, P O ... BROADSPIRE SERVICES, INC. PO BOX 14645 ...What's 37422-8000? 37422-8000 is a ZIP Code 5 Plus 4 number of PO BOX 188000 (From 188000 To 188099), CHATTANOOGA, TN, USA. Below is detail information. Claims should be addressed to CIGNA PPO (same address you already have listed). EDI Payer ID: 62308. Claims should be submitted to: Cigna PPO. PO Box 188061. Chattanooga, TN 37422-8061. See Claims for further information or contact the Student Health Insurance Office at 970-351-1915 or [email protected]. policy info.

PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider

PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider37422 is classified as a PO Box ZIP Code. Its primary use is for Post Office box delivery. It may include some mailbox delivery as well, but this will be the minority use. ... 37422 is a part of the Chattanooga, TN-GA Core-Based Statistical Area (CBSA) and it's CBSA code is 16860. The Office of Management and Budget (OMB) defines this as a ...Mail this completed form (Request for Health Care Professional Review) or a letter of appeal along with all supporting documentation to the address below: Cigna ID cards: If the Cigna ID card indicates: GWH -Cigna or ‘G’ on the front of the card: Cigna Appeals Unit Cigna Appeals Unit PO Box 188011 P.O. Box 188062 Chattanooga, TN 37422 ...Chattanooga - 423-593-6624 Raleigh - 910-622-1548 Huntsville - 256-529-2580 ... Industrial Marketing & Sales, Inc. has offices in Chattanooga, TN and Raleigh, NC, and Huntsville AL. IMS is represented by Hastings McGinness, Wayne Kluka, and Robert Thompson. We strive to: Supply a professional and technical sales team for our …Cigna, PO Box 188061, Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 ... PO Box 15369, Springfield, MA 01115-5369 Electronic Payor ID: 87843 . Author: IMPORTANT CONTACT INFORMATION. Find the contacts you need to get in touch with us for information about your patients with Cigna coverage.*. Please note that call, claim, and service channels may differ based on the Cigna participant’s identification (ID) card. If you want to: P.O. Box 3018 Missoula, MT 59806-3018 Toll Free: 800-877-1122 Local: 406-721-2222. Companies Allegiance Benefit Plan Management, Inc. Allegiance Advantage Allegiance COBRA Services, Inc. Allegiance Life & Health Insurance Company, Inc. Allegiance Care Management. CAA Customer Balance Billing Disclosure Out of Network ...All claims will be processed by Allegiance at its facility in Missoula, MT. Checks and EOBs will come from Allegiance. EFT/835. Zelis. (877) 828-8770. [email protected]. Working with Allegiance. Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute.PO Box 188061 Chattanooga, TN 37422 - 8061 CIGNA HEALTH AND LIFE INSURANCE COMPANY Payment includes Cigna Health and Life Insurance Company insurance …PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims unco.myahpcare.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider

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PO Box 188081 Chattanooga, TN 37422. Phone (Expedited Appeals Only): (TTY 711) Phone (Arizona Expedited Appeals Only): (TTY 711) Fax: Hours for phone and fax: October 1-March 31: 8 am-8 pm, 7 days a week April 1-September 30: Monday-Friday 8 am-8 pm, Saturday 8 am-6 pm Messaging service used weekends, after hours, and federal holidays.Claims should be submitted to: Cigna PPO. PO Box 188061. Chattanooga, TN 37422-8061. See Claims for further information or contact the Student Health Insurance Office …2077 Roosevelt Ave. Springfield MA 01104. 877.657.5030. www.wellfleetstudent.com. CIGNA. PO Box 188061. Chattanooga, TN 37422-8061. Electronic Payor ID: 62308. Lehigh University Student Health Insurance Check out our Student Health Insurance Frequently Asked Questions.CIGNA PPO. EDI Payor ID: 62308. Mail Claims to: CIGNA PPO. P.O. Box 188061. Chattanooga, TN 37422-8061. 110314. American Republic Insurance Company - Founded in 1929, we have a proven track record providing exceptional insurance solutions.PO Box 188061 Chattanooga, TN 37422-8061 www.cigna.com You can confirm a provider is participating in the Cigna PPO network by calling: 877.657.5039. Pre-Certification is …PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payer ID# 62308 Pre-Certification Precertification requirements vary by plan. Failure to comply with precertification requirements may result in a reduction of benefits. To Pre-certify call 800-727-1733 SUBMIT ALL CLAIMS TO: Member Service & Eligibility: 800-727-1733 Rx Mail Order:-PO Box 188011 Chattanooga, TN 37422 For patients with "G" ID cards: Phone: 866.494.2111 Fax: 877.804.1679 Mail: Cigna National Appeals PO Box 188062 Chattanooga, TN 37422-8062: Submit or inquire about provider credentialing ** Phone: 800.88Cigna (882.4462) Obtain information about organ and tissue transplant network: Cigna LifeSOURCE Transplant ...PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308. Non-Cigna PPO Providers Wellfleet Group, LLC dba Wellfleet Administrators, LLC PO Box 15369 Springfield, MA 01115-5369. Bills should be submitted within ninety (90) days of service.Mail: Cigna, P.O. Box 188061, Chattanooga, TN 37422-8061 Q: What happens if my doctor’s office doesn’t recognize Trustmark’s name? A: Tell them Trustmark is your benefits administrator and that they should call Trustmark at 877.498.8937 should they have questions. ….

PO Box 188061 Chattanooga, TN 37422-8061 Payer ID 62308. UnitedHealthcare Dental Plan. Group # 910459. Customer Service. 877-816-3596. Network. National Options PPO 30. Network Website. https://www.myuhc.com (Select “Find a Dentist”) UnitedHealthcare Vision Plan. Group # 910459. Customer Service. 800-638-3120.P.O. Box 188061 Chattanooga, TN 37422-8061 Payer ID 62308 Submit Claims to: Cigna PO Box 188061 Chattanooga, TN 37422-8061 Payer ID: 62308 We encourage you to use a PCP as a valuable resource and personal health advocate. This card does not guarantee eligibility or payment. Member Medical Plan Covered Person: JOHN SAMPLE Reid Hospital Group ID ...PO Box 188061 Chattanooga, TN 37422-8061 Behavioral Health and Substance Abuse Services Evernorth Behavioral Health, Inc. Electronic Payer ID: 62308 Cigna + Oscar PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY DentalPO Box 188061 Chattanooga, TN 37422-8061 or Payer ID: 62308 Cigna will forward priced claims to Allegiance electronically for processing. Claims submitted electronically will be …Cigna, PO Box 188061, Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 Eligibility/Claims: (877) 657-5030 Please submit all Medical, Dental, other non-medical claims, and correspondence to: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369 Electronic Payor ID: 87843 .PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308. Non-Cigna PPO Providers Wellfleet Group, LLC dba Wellfleet Administrators, LLC PO Box 15369 Springfield, MA 01115-5369. Bills should be submitted within ninety (90) days of service. Keep copies of all the documents you submit.Payer ID 95567, PO Box 9040 Farmington, MO 63640-9040 Health Net of California, Inc. provides the health benefits under this plan Outside of California Medical & Mental Health Benefit Claims Cigna Medical Claims Payer ID 62308, PO Box 188061 Chattanooga, TN 37422-8061 Benefits are not insured by Cigna or affiliates Access may vary . …P.O. Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 1.We must receive your claim form within a specific period of time from the date you received the service, unless your plan or state laws allow for more time. Cigna + Oscar coverage is insured by Cigna Health and Life Insurance Company. Benefits are administered by MulberryIf you’re in the market for a new Jeep, there’s no better place to start your search than at one of the many Jeep dealerships in Chattanooga, TN. With a wide selection of models an...PO Box 188081 Chattanooga, TN 37422. Phone (Expedited Appeals Only): (TTY 711) Phone (Arizona Expedited Appeals Only): (TTY 711) Fax: Hours for phone and fax: October 1-March 31: 8 am-8 pm, 7 days a week April 1-September 30: Monday-Friday 8 am-8 pm, Saturday 8 am-6 pm Messaging service used weekends, after hours, and … Po box 188061 chattanooga tn 37422 8061, PO Box 188061 Chattanooga, TN 37422-8061 (EDI #62308) File claims within 30 days of Injury or first treatment for a Sickness or as soon as reasonably possible. Claim Forms are not required. Bills should be received by the Company within 90 days of service. Bills submitted after one year will not be, PO Box 188061 Chattanooga, TN 37422-8061 Pre-Notification EMBERS: Carry thiscard at all times. Before hospital ðynission or for other services as specified in your plan yöur physician must call for pre-treatment authorization (precertification). Failure to comply may result in a reduction If you need to see a provider and you are, Cigna, PO Box 188061, Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 Eligibility/Claims: (877) 657-5030 Please submit all Medical, Dental, other non-medical claims, and correspondence to: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369 Electronic Payor ID: 87843 ., PO Box 188011 Chattanooga, TN 37422 For patients with "G" ID cards: Phone: 866.494.2111 Fax: 877.804.1679 Mail: Cigna National Appeals PO Box 188062 Chattanooga, TN 37422-8062: Submit or inquire about provider credentialing ** Phone: 800.88Cigna (882.4462) Obtain information about organ and tissue transplant network: Cigna LifeSOURCE Transplant ..., P.O. Box 3018 Missoula, MT 59806-3018 Toll Free: 800-877-1122 Local: 406-721-2222. Companies Allegiance Benefit Plan Management, Inc. Allegiance Advantage Allegiance COBRA Services, Inc. Allegiance Life & Health Insurance Company, Inc. Allegiance Care Management. CAA Customer Balance Billing Disclosure Out of Network ..., 400 High St SE | Salem, OR 97312 | P: 800.285.8525. Even though your medical insurance is through Providence Health Plan, the network that the provider’s office will be utilizing is Cigna, not Providence., Where should I send claims? You can submit claims by mail or electronically: . Mail Cigna PO Box 188061 Chattanooga, Tennessee 37422-8061. Electronically Payer ID: 62308. You can also refer to the patient’s ID card for claim submission information. Do I need to collect the customer’s deductible or coinsurance at the time of service?, Oct 27, 2023 · PO Box 9030 Farmington, MO 63640-9030: Salud con Health Net: ... Farmington, MO 63640-9040: Cigna: Cigna PO Box 188061 Chattanooga, TN 37422: View Claims Details Online , P.O. Box 188061 Chattanooga, TN 37422-8061 Payer ID 62308 Submit Claims to: Cigna PO Box 188061 Chattanooga, TN 37422-8061 Payer ID: 62308 We encourage you to use a PCP as a valuable resource and personal health advocate. This card does not guarantee eligibility or payment. Member Medical Plan Covered Person: JOHN SAMPLE Reid Hospital Group ID ... , PO Box 188061 Chattanooga, TN 37422-8061. Mental Health and Substance Use Disorder Claims: Cigna Healthcare Behavioral Health, Inc. Attn: Claims Service Dept. P.O. Box 188022 Chattanooga, TN 37422, We would like to show you a description here but the site won’t allow us., Many people and businesses use PO boxes to send and receive mail. A PO box can provide a convenient way of receiving mail, but it is not valid for many applications where a residen..., PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY Dental Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: www.libertydentalplan.com , Medical Claims PO Box 188061 Chattanooga, TN 37422-8061 Payer ID #62308 Rx Claims: Pharmacy Service Center, PO Box 188053, Chattanooga TN 37422-8053 For Pharmacists Only 800-351-9170 Customers & Health Care Professionals call 1-866-494-2111 R418A (8/13) Mask 601 Issue Date: 10/31/14 Open Access Plus Away From Home Care LocalPlus myCigna.com, PO Box 188061 Chattanooga, TN 37422-8061 www.cigna.com You can confirm a provider is participating in the Cigna PPO network by calling: 877.657.5039. Pre-Certification is required for the following services: All Inpatient Hospitalization, High Risk Maternity, Routine Maternity (if Inpatient stay exceeds federal , PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider For information about the Wellfleet Rx/ESI Prescription Drug Program, please visit www.wellfleetstudent.com Your plan includes Wellfleet Rx – offering over 40 generics at a $0 copay. Please ask your health care provider to review our, PO Box 188061, Chattanooga, TN, 37422-8061 Electronic Claims Submission for Medical Claims: Payer ID # 62308 For a list of Preferred Providers: www.Cigna.com Submit Pharmacy Claims to: WellDyne; Members: 1-888-964-0039 Providers: 1-800-345-5413 Electronic Claims Submission for Pharmacy Claims: RxBIN:; PCN: ADV; Rx Grp:, PO Box 188081 Chattanooga, TN 37422. Phone (Expedited Appeals Only): (TTY 711) Phone (Arizona Expedited Appeals Only): (TTY 711) Fax: Hours for phone and fax: October 1-March 31: 8 am-8 pm, 7 days a week April 1-September 30: Monday-Friday 8 am-8 pm, Saturday 8 am-6 pm Messaging service used weekends, after hours, and …, Cigna, PO Box 188061, Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 Eligibility/Claims: (877) 657-5030 Please submit all Medical, Dental, other non-medical claims, and correspondence to: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369 Electronic Payor ID: 87843 ., PO Box 188014 Chattanooga, TN 37422. Created Date: 7/21/2021 8:17:14 AM ..., P.O. Box 3018 Missoula, MT 59806-3018 Toll Free: 800-877-1122 Local: 406-721-2222. Companies Allegiance Benefit Plan Management, Inc. Allegiance Advantage Allegiance ..., PO Box 188061 Chattanooga, TN 37422-8061 Payer ID: 62308 CHP Providers submit claims to: Allegiance PO Box 3018 Missoula, MT 59806 Payer ID 81040 Other Providers submit claims to: Cigna PO Box 188061 Chattanoogna, TN 37422-8061 Payer ID: 62308 EAP - Health Management Systems of America - 1-800-767-5320 This card does not guarantee eligibility ..., Claims should be addressed to CIGNA PPO (same address you already have listed). EDI Payer ID: 62308. Claims should be submitted to: Cigna PPO. PO Box 188061. Chattanooga, TN 37422-8061. See Claims for further information or contact the Student Health Insurance Office at 970-351-1915 or [email protected]. policy info., Mail this completed form (Request for Health Care Professional Review) or a letter of appeal along with all supporting documentation to the address below: Cigna ID cards: If the Cigna ID card indicates: GWH -Cigna or ‘G’ on the front of the card: Cigna Appeals Unit Cigna Appeals Unit PO Box 188011 P.O. Box 188062 Chattanooga, TN 37422 ..., Claims should be submitted by you, the provider, to Cigna for repricing according to contracts. Please send to: Cigna, PO Box 188061, Chattanooga, TN 37422-8061. For services that require precertification please call Bywater support (800)-337-0792. If outside of Bywater’s standard business hours please call within 72 hours if it is the ... , We would like to show you a description here but the site won’t allow us., Claims Address: PO Box 188061, Chattanooga, TN 37422-8061 Note Cigna requires a unique, Cigna generated policy number. ... Claims Address: PO Box 5001, New Port ..., PO Box 188081 Chattanooga, TN 37422 Fax #: 855-350-8671 For all Non Contracted Provider Appeals a completed Waiver of Liability is required in order to process your appeal. The Waiver of Liability Statement must be signed. Your appeal request will not be considered without receipt of a signed Waiver of Liability Statement. You can either mail ..., We would like to show you a description here but the site won’t allow us. , PO Box 188014 Chattanooga, TN 37422. Created Date: 7/21/2021 8:17:14 AM ..., PO Box 188011 Chattanooga, TN 37422 For patients with “G” ID cards: Fax: 877.804.1679 Mail: Cigna National Appeals PO Box 188062 Chattanooga, TN 37422-8062 Submit or …, PO Box 188061 Chattanooga, TN 37422-8061. Prior authorization, case management, utilization management: ... PO Box 6090 De Pere, WI 54115-6090. Provider FAQs. , Medical Claims: PO Box 188061 Chattanooga, TN 37422-8061 Payer ID# 62308 ... Pharmacy Service Center PO Box 188053 Chattanooga, TN 37422-8053 Member and Pharmacy Help Line: 800-325-1404 Benefits are not Insured by Cigna or affiliates. OnCall Global Assistance Center: (Toll Free) 1- 855-226-7915 (Collect) 1-603-952-2045