How To Submit Claims To Cigna Healthcare

For Cigna Healthcare, the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single address.

At a glance

• Cigna supports electronic claims submission and also routes some claims by mail to the address on the patient’s ID card. Electronic claims can include primary and secondary claims. Corrected claims are submitted using the appropriate claim frequency code in the electronic claim, and supporting documentation for certain claims can be faxed to specific numbers. The exact paper claim address depends on the patient’s ID card and product.

Submission channels

• Electronic claim submission via EDI/clearinghouse
• Cigna for Health Care Professionals portal for claim status and related tasks
• Mail to the claim address on the patient ID card
• Fax for supporting attachments in certain claim scenarios
• Portal upload for some pended claims in certain workflows

Electronic claims payer IDs

• Not supported in a single universal value from the public sources reviewed

Paper claims addresses

• Use the claim address on the back of the patient’s Cigna ID card
• For some products, Cigna Healthcare Medical Claims: PO Box 182223, Chattanooga, TN 37422-7223
• For some appeals/corrected-claim workflows, addresses vary by ID card type (for example, PO Box 188011 or PO Box 188062 for appeals)

Corrected claims and follow-up

• For electronic claims, use Claim Frequency Type Code in Loop 2300, Segment CLM05.

• Use 7 for replacement of prior claim.

• Use 8 for void/cancel of prior claim.

• For corrected claims sent by mail, use the claim address on the back of the patient’s ID card.

• If the claim had no payment to date or you are submitting additional information for initial review of payment, send to the address on the back of the ID card.

• Claims status resource 1

• Claims status resource 2

Caveats

• Claim submission routing varies by patient ID card, product, and line of business.
• Not all claims can use the same paper address.
• Some specialty programs direct claims or attachments to vendor-specific pathways.
• The public pages reviewed do not provide one universal payer ID for all Cigna claim types.

Provider resources

• Cigna for Health Care Professionals portal (official)
• Precertification / Prior Authorization (official)
• Submit Claims (official)
• Appeals and Disputes (official)
• CHCP resources: Electronic Claims Submission (official)
• CHCP resources: How to Register (official)

Sources