Checking patient eligibility

Cigna Healthcare offers multiple options for you to check eligibility and benefits information for your patients with a Cigna Healthcare benefit plan:

• Online: Verify patient eligibility and verify patient and plan detail information on CignaforHCP.com.
• Electronic Data Interchange (EDI) vendors: Work directly with your EDI vendor to check eligibility and benefits

Submitting claims

EDI vendors help automate your claims process and save money. Cigna Healthcare^® has connections with multiple vendors. Please work directly with your EDI vendor to submit claims electronically.

Please note that for our Third-Party Administrator accounts (e.g., Shared Administration Repricing and Payer Solutions), we encourage you to continue to verify eligibility by calling the number on the back of the patient’s ID card. This also includes Strategic Alliances members residing in Cigna Healthcare markets (e.g., HealthPartners, MVP, Priority Health, and THP). Additional Shared Administration Repricing and Payer Solutions resources are also available.

Thank you for the ongoing care you provide our customers.