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NaviNet for CIGNA HealthCare Precertifications

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Click on CIGNA HealthCare in the Plan Central menu.

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Aetna®

AmeriHealth Mercy Family of Companies

UnitedHealthcare®
 

Introducing NaviNet for CIGNA HealthCare!

Precertification is here! CIGNA home page in NaviNet

Now your office can use NaviNet for CIGNA HealthCare for medical precertification submissions and inquiries! And it’s free!

  • Submit precertification requests
  • Check the status of submitted precertification requests
  • Determine if precertification is required

Use NaviNet for CIGNA HealthCare precertification for:

  • Submission of precertification for inpatient services
  • Outpatient services (when required by a CIGNA HealthCare plan)
  • Injectable medications (when covered under the medical plan)

Note: This service is not available for behavioral health, dental, or substance abuse precertification requests at this time.

Get answers fast!
Once information is entered, your submission will be assigned a precertification number. You will receive one of the following responses:

  • Request is approved
  • Service does not require precertification
  • Request is pended - the reason it is pended will display. Once CIGNA receives any additional information requested, the medical team will review it (usually within 24-48 hours).

Through the Inquiry feature, you can get the most up-to-date status of precertification requests. Inquire by precertification number or by member. If your request is denied, the status will be updated in the Inquiry feature. The reason for the denial and how to appeal the decision will be communicated via phone and via letter.

Getting started is easy!
NaviNet Security Officers can grant real–time access to the precertification service to authorized users in the office. It’s fast and easy, and access will be granted the next time you log in.

Attention NaviNet Security Officers: For more information on granting NaviNet user permission for CIGNA HealthCare precertifications, go to the Enable Permissions link in the plan transactions menu or call NaviNet Customer Care at 1-888-482-8057.

Not sure who your NaviNet Security Officer is? Click your name on NaviNet Home to view your profile.

And don’t forget – You can also use NaviNet to check CIGNA HealthCare eligibility, benefits and claim status! NaviNet enables you to streamline administrative and clinical transactions with CIGNA HealthCare and other health plans. With NaviNet, you only need one username and password to interact with the health plans you work with the most!

  • Eligibility and Benefits Inquiry
  • Claim Status Inquiry
  • Precertification Submission
  • Precertification Inquiry
  • Benefit Plans and Features
  • Provider Directory
  • Policies and Forms
  • Easy to Learn and Use
  • Enhanced Security
  • Online Help via NaviNet
  • Available 7 Days a Week
  • And Much More!
All available at no cost

Sign up Today!

 

Already a NaviNet user? Try it now!
Click on CIGNA HealthCare in the Plan Central menu.