Cigna Prior Authorization Fax Number

Which line takes which request

Cigna’s precertification page separates who handles the request:

• A service Cigna Healthcare handles directly. Send the precertification intake form to fax (866) 873-8279, call (800) 882-4462, or use an EDI 278 transaction from your practice system.
• A service EviCore by Evernorth manages. Cigna routes these to EviCore’s phone and portal. Of the EviCore services on the page, only musculoskeletal pain management, joint surgery and spinal procedures show a fax, (800) 540-2406.
• A medication. Cigna’s page names three ePA routes (EviCore, Surescripts and CoverMyMeds) and says to call (800) 882-4462 if you cannot use one. It names no fax line for medication.

Check the Master Precertification List on the same page to see whether the service needs review at all.

The medication form and its fax line

Cigna’s Medication Prior Authorization Form, revision v102015, tells you to “Fax completed form to: (855) 840-1678” and to call (800) 882-4462 for an urgent request. The Arkansas version of the form prints the same line. Cigna’s current precertification page does not mention it, and leads with ePA or the phone.

The form also says Cigna will not respond via fax with the outcome unless every asterisked field is complete. Those fields are the physician name, the DEA, NPI or TIN, and the patient’s name, Cigna ID, date of birth and street address.

What to send

The medical form asks for the patient and Cigna ID, the requesting and servicing providers with their Tax ID or NPI, the date of service, the diagnosis and procedure codes, and supporting clinical notes. Cigna’s page warns that a request missing important details may be denied.

The medication form asks for the drug, strength and dosing schedule, the ICD-10 code, and each alternative tried with dates and results. If you add information after the first request, Cigna asks: “please use the same method you used before”.

Match the form to the handler

Cigna, EviCore and Cigna’s pharmacy forms each have their own line, and a request sent to the wrong one starts over.

• Check whether Cigna or EviCore handles the service before you pick a number.
• Use the number on Cigna’s denial or request letter when one names a destination.
• Keep the delivery confirmation. It shows the fax reached the number, not that Cigna has decided the request.

Where Cigna’s answer arrives

Both Cigna forms ask for the office fax, and the medication form says Cigna answers by fax once its required fields are complete. A FaxTerra paid plan includes a dedicated number, and what arrives lands in the same inbox the practice sends from, on the web or the mobile app.

For PHI, a covered practice adds HIPAA compliance, $4.99 a month on top of any paid plan, which includes a signed Business Associate Agreement. Plans without it, including the free one, have no BAA.