Insurance Identification Cards

CIGNA Behavioral Health (CBH) does not produce insurance Identification (ID) cards but partners with the participant’s medical payer. The ID card provides a wealth of information about the participant and their benefits. It is recommended that practitioners copy the card, front and back, and keep in the participant’s file for their records. It is recommended this be done annually as plan offerings and subscriber benefit elections may change.

Cards are typically issued annually on either a calendar or contract year basis. Calendar year, like the name suggests, begins on January 1st and typically goes through the end of the year. Contract year plans begin at the beginning of any month and typically span a year. For example, a plan’s ‘begin’ date is April 1st so the plan year would typically end on March 31st of the following year. The practitioner should be aware of the ‘begin’ coverage date as that will be the date from which benefits are tallied if the participant has yearly benefit limits. Note, some participants may have yearly and/or lifetime limits and may be accrued by visit or dollars depending on the plan and/or the options the participant has selected—the card should provide that information.

   

Contacting the medical or behavioral carrier

The CBH or behavioral company telephone number is typically found on the back of the ID card and usually referenced as MH/SA. Most cards have an address indicating where claims should be sent (note, many times this is the address of the medical payer). Some cards may differentiate between the medical and behavioral so please check the ID card carefully. If a behavioral address is not listed, call the CBH or behavioral 800 number provided; a Customer Service Representative can give you the claims mailing address. It is recommended that practitioners review this information yearly in case there is a change.

   

Why it’s important to mail claims to the correct address

The correct mailing address can cut the time to payment dramatically, which means reimbursement for services can be to you sooner. It also decreases the chances the claim will go ‘astray’ if it is mailed and/or transferred between carriers.

   

Other useful information about the ID cards

The front of the ID card provides a wealth of useful information such as the type of insurance the member has (HMO, PPO, EPO, etc.), the coverage effective date, the member's ID number (note, most insurers now use an Alternative Member Identification [AMI] number to identify the participant), and the participant name. Many cards have a section for copayments and/or coinsurance. These tell the practitioner, at a glance, what the copayment/coinsurance should be.

Below is a sample of one of the CIGNA HeathCare cards:

 

   

Self Introduction Contest

Want to win an iPod Shuffle or a Starbucks Gift card? We want our participants to know more about you so we recently introduced a contest in an effort to get your personal profile on-line. Click on the following link to read all about it: Self Introduction Contest. Note, the contest ends 12/31/2007!

 

There have been several press releases regarding our provider Self Introductions – check them out!
MSN.Money, Yahoo.Finance, Behavioral HealthCare

   

Your Ideas Welcome

If you have topics you'd like to see addressed please let us know. Contact us at ProviderEducationSpecialist@cignabehavioral.com and we'll dig into it. We want this brief to be as informative and insightful as possible and to address topics important to our practitioner community.

   

Now Available on our Website

Have you missed any of our monthly eBriefs? As of February our eBriefs are now available on our website at www.cignabehavioral.com for you to reference. Note: if you are having difficulty connecting via the link provided, highlight the link, copy, and paste into your browser.