Tools and Forms

Welcome to Cigna's Online Tools for behavioral health providers. If function is your web preference, you've come to the right place. We're excited about the tools we now have available to assist you in reducing your administrative tasks. We feel these tools are WELL conceived.

Interactive Tools:

• Want to check your member’s benefits? Click here.
• Want to submit a claim online? Click here.
• Want to submit your self-introduction? Click here.

Other tools:

No login required:

Clinical Library
Claim Status
Eligibility and Benefits
Provider Self-Introduction
Secure Email
Network Rewards Program
Vision Network Savings Program

Submit Demographic Changes
Provider Directory
Join Our Network
SA IOP Concurrent Review Form
MH IOP Concurrent Review Form
ED IOP Concurrent Review Form
IOP Discharge Form
EAP Statement of Understanding
Common Claim Issues
Ways To Increase Your Referrals
Electronic Data Interchange (EDI)
Fee Information
Member Release of Information Form
Electronic Funds Transfer (EFT) Information
EAP Claim Information

Forms:

HCFA/CMS 1500
UB04
EAP CMS 1500
EAP Clinical Assessment Form
Update Clinical Specialties
Clinical Screening Tools
Electronic Funds Transfer (EFT) Direct Deposit Authorization Form

Primary Care Physician Tools
Level of Care Guidelines
SA IOP Concurrent Review Form
MH IOP Concurrent Review Form
ED IOP Concurrent Review Form
IOP Discharge Form
EAP Statement of Understanding