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Find instructions on how health care providers can request precertifications and prior authorizations for patients using PromptPA.
You can request prior authorization for your patients with Cigna-administered coverage through your electronic health record (EHR) or electronic medical record (EMR) system or via a website that offers this service at no charge.
Find the prior authorization forms for various medications and treatments covered by Cigna health plans. Download and submit the forms online or by fax.
Do not use this form: 1) to request an appeal, 2) to confirm eligibility, 3) to verify coverage, 4) to ask whether a service requires prior authorization, 5) to request prior authorization of a prescription drug, or 6) to request a referral to an out of network physician, facility or other health care provider.
It is the responsibility of the performing facility to confirm that the referring physician completed the precertification process for advanced imaging procedures. Verification may be obtained through our website at eviCore.com or by calling 888.693.3297.
Learn more about prior authorization, the process to get pre-approval, and the impact of the No Surprises Act. Prior Authorizations Under medical and prescription drug plans, some treatments and medications may need approval from your health insurance carrier before you receive care.
Submit Online at: www.covermymeds.com/main/prior-authorization-forms/cigna/ or via SureScripts in your EHR. Our standard response time for prescription drug coverage requests is 5 business days. If your request is urgent, it is important that
