Find instructions on how health care providers can request precertifications and prior authorizations for patients using PromptPA.

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 you call us to expedite the request.

You can submit an online prior authorization request for any customer who has Cigna prescription coverage. Moving forward, please visit CoverMyMeds at www.covermymeds.com/main/prior-authorization-forms/cigna/ or via SureScripts in your EHR to learn more and submit all new PA requests electronically.

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

Find health insurance forms for customers including medical and dental claims forms, authorization forms, appeals, pharmacy forms, and more.

prior authorization form Fax #: 866.873.8279 - Please a llow 24-48 hours for acknowledgement of pending review. Complete this form in its entirety and attach clinical to support medical necessity.

Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.

Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.

Contact us to learn how to name a representative. Attach documentation showing the authority to represent the enrollee (a completed Authorization of Representation Form CMS-1696 or a written equivalent). For more information on appointing a representative, contact your plan or 1.800.Medicare.

Cigna’s nationally preferred specialty pharmacy **Medication orders can be placed with Accredo via E-prescribe - Accredo (1620 Century Center Pkwy, Memphis, TN 38134-8822 | NCPDP 4436920), Fax 888.302.1028, or Verbal 866.759.1557