April 1, 2024
California Senate Bill (SB) 137 requires health plans to contact all contracted providers to verify the accuracy of the information they have in their provider directories. This must be done:
Information we are required to verify by law
Practitioner or association | Facility and ancillary providers |
Name | Name |
Alias (alternate) name | Alias (alternate) name |
Email (for patient communications) | Facility or ancillary type |
Degree | License |
Specialties | Accreditation status |
Board certification | NPI |
National Provider Identifier (NPI) | TIN |
License(s) | Servicing addresses, including phone numbers |
Language(s) (including staff and qualified medical interpreters) | Network plan types accepted (e.g., PPO, OAP, HMO) |
Facility and hospital affiliations | Email (if available) |
Taxpayer Identification Number (TIN) | |
Accepting new patients/panel status | |
Network plan types accepted (e.g., PPO,* OAP,* HMO,*) | |
Servicing addresses, including phone numbers | |
Medical group affiliation(s) |
Your responsibilities under California SB 137
In compliance with California SB 137, and under the terms of your Cigna Healthcare Provider Agreement, you are required to validate the accuracy of the information displayed in our provider directories and to keep this information current. California SB 137 requires us to remove providers from our directories if, after multiple attempts to reach them, we do not receive a response to validate the information.
Accordingly, you must:
In addition:
Restore your listing
If you have received notification that your information has been removed from our provider directories, you can still confirm that your information is accurate or request that we update it by sending an email to CA_DirectoryCompliance@Cigna.com. We will restore your information in the online and printed directories once we receive a full and accurate response, and are able to verify it in accordance with Cigna Healthcare policies and requirements for updating directory information.
Other times to update your demographics
If your demographic information will change during a time frame that is outside of our annual or semiannual verification process, we require that you notify us 90 days in advance. Not only will this help ensure the accuracy of your information in our provider directories, it may prevent reimbursement delays that could occur if you make changes to certain information (such as your name, address, TIN, or NPI). Changes to the directories will be made within 30 business days of the date we receive your request.
Three easy ways to submit demographic updates
Type of demographic update | Website or email address |
Routine** | Log in to the Cigna for Heath Care Professionals website (CignaforHCP.com) > Working with Cigna. Go to the Update Demographic Information section; click Update Health Care Professional Directory.*** or Intake_PDM@Cigna.com |
Directory corrections | ProviderUpdates@Cigna.com |
View the current provider directory
Go to Cigna.com > Find a Doctor. Then select a directory.
We appreciate your cooperation and compliance with this law.
* Preferred provider organization, Open Access Plus, health maintenance organization.
** Cannot make directory corrections.
*** Cannot update TINs using this method. Please send an email to Intake_PDM@Cigna.com.
Please let us know what you think of the Provider Newsroom information and news.
Contact Us