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Cornerstone Alliance Annual Cigna UpdateSeptember 16, 2015

Presenter: Elizabeth Hamilton, HCP Solutions

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Today’s Topics

• Electronic Tools & Resources - Reminders• Communication• Recent Updates• EFT Updates• Milliman Study • Working with Cigna

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna

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www.cignaforhcp.com

• Verify Patient & Claim information

• Cost of Care Estimator Tool

• Submit & View Precertification Requests

• Clinical & Reimbursement Resources

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna

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Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna

Cigna Cost of Care Estimator

•Estimate out of pocket cost pre-care

•Eliminate financial surprises

•Reduce patient bad debt

•Share printed copy with your patients

•Facilitate financial discussion

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Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna

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Popular Resources www.cignaforhcp.com

– Reference Guides– Coverage Policies– Reimbursement & Payment Policies– Modifier Policies– Full Outpatient Precertification list– Drug List

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Learning Resources for www.cignaforhcp.com

Cigna has several resources available for learning to navigate our website:

– Site Tour– On Site Training– Monthly Webinar Schedules– eCourses

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Communication

• Quarterly Newsletter• Mailings/Notifications• HCP Experience

Consultant

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna

To receive our digital quarterly newsletter containing Cigna updates, please send an email to: NetworkNewsEditor@Cigna.com and include your name/organization/TIN #/email address.

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Recent Updates

• Appeal form updated (April 2015)

• ICD-10 FAQ’s Updated

• Coverage Policy Updates (October 2015)

• Newly Designated Call Centers– Radiology/PT/OT

• Interpretation and Translation Services

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EFT Updates

• Enrollment now available with CAQH

• EFT for Great West (October 2015)

• Deposits increased frequency

• Payment bulking available by NPI

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Milliman Study

Cost savings per transaction:

•Claims $2.23

•Eligibility & Benefit Verification $3.07

•Prior Authorization $8.93

•Claim Status Inquiry $1.23

•Claim Payment $3.04

•Remittance Reports $4.17

Working with Cigna

• Physician Advisory Council

• Meeting/Training Opportunities

• Reoccuring Issues

• Feedback

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"Cigna" is a registered service mark and the "Tree of Life" logo is a service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc.

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