NY / NJ / CT

Cigna Healthcare®

Guidelines & Support for Providers

Member ID Cards

Cigna Healthcare® PPO Network, administered by Oxbridge Health

Member ID Cards may also include MVP network (NY state only)

Prior Authorizations for Medical & Pharmacy

Medical Prior Authorizations

For medical prior authorizations, please call (833) 246-5513 to confirm member eligibility and benefits before proceeding with prior authorization.

You must have the following information available:

  • Member name, DOB, and ID
  • Provider name and contact information (address and phone)
  • Diagnosis code
  • Procedure code
  • Dates of service
  • Type of Inpatient or Outpatient Service
(833) 246-5513

You can also submit prior authorizations online at secure.healthx.com

Pharmacy Prior Authorizations

Complete the form and fax to the number below:

Pharmacy Prior Authorization Form

Fax completed form to the number listed on the form.

Pharmacy Directory

Shield Pharmacy Benefit Manager, powered by Rx Valet

Pharmacy Locator

myrxvalet.com

Pharmacy Cost Estimator

Coming soon

Pharmacy Member Portal

shieldpbm.com

Claims Submission & Payment

Claims Submission

Mail to: Cigna Medical Claims, PO Box 188061, Chattanooga, TN 37422

Payor ID: 62308

Claims Submission & Payment Status

Access claims submission history, total payment, and member payment information by logging on to your Provider Portal (coming soon).

To check on the status of your claims, call (833) 246-5513

Member Eligibility & Benefits

Verify Member Details, Current Coverage Details, Accumulators, and Plan Benefits

To verify, you have the following options:

  • Login to the Provider Portal (coming soon)
  • Or call: (833) 246-5513

Register for Provider Portal

Review the instructions here to register for the Provider Portal. The Portal allows users to view prior authorization status, claims and payment status, and member eligibility.

After requesting access, a user will receive an email in 3-5 business days with login credentials and instructions.

Provider Reconsiderations & Appeals

Medical Claims

  • Complete: Provider Dispute Form
  • Fax to: (469) 228-4289
  • Or mail to: PO Box 1414, Westborough, MA 01581

Network Pricing Disputes:
Cigna Appeals Unit, PO Box 188011, Chattanooga, TN 37422

Provider Disputes:
Reflect Health, PO Box 40825, Cincinnati, OH 45240
Fax: (513) 772-9174

Pharmacy Claims

The Cigna Healthcare® PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration. Cigna Healthcare® is an independent company and not affiliated with Oxbridge Health. Access to the Cigna Healthcare PPO Network is available through the contractual relationship between Oxbridge Health and Cigna Healthcare. All Cigna Healthcare products are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property, Inc.

Have questions for Oxbridge Health?

Call (833) 246-5513