New: Get immediate code edit audit results with Clear Claim Connection™ via HSConnect
Improve claim accuracy by identifying potential errors in advance. Simply enter Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes into Clear Claim Connection to immediately view audit results. You can access the Clear Claim Connection code edit audit tool from your dashboard on HSConnect.
Please refer to the link below for PHE updates on changes to authorization requirements.
https://www.phe.gov/emergency/news/healthactions/phe/Pages/default.aspxt
New! HSConnect Provider Portal User’s Guide
The HSConnect Provider Portal User’s Guide is now available online as your one-stop shop for information about the portal, including answers to frequently asked questions and where to find additional resources and support.
Training for new users
To receive your login credentials, you must complete the Provider Portal Enhancement General Functionality module. We also encourage you to review these training modules:
Authorization requirements and forms
As a reminder, you can find authorization requirements and forms at the following link: https://medicareproviders.cigna.com/forms
Support for Providers
- For questions regarding Medicare Advantage (with the exception of AZ and Leon) claims, eligibility, benefits, copays, status of claims/authorizations, and other inquiries (g. Is auth required?): Provider Customer Service team, Monday – Friday, 8:00 a.m. – 5:00 p.m. CST at 800.230.6138.
- For Leon/Miami provider portal support (new accounts, password changes, questions, and general help): email LMCHPProviderRelations@Cigna.com or call (305) 646-3776 & (305) 631-5242.
- For all other Provider Portal support, please contact HSConnect provider support (new accounts, password changes, questions, and general help): HSConnect Help Desk, Monday – Friday 7:00 a.m. – 4:30 p.m. CST at 866.952.7596, option 2, or HSConnectHelp@HSConnectOnline.com.
- For complaints, questions, or training information, please call your Network Operations Representative.
- For referral or authorization requests, please call Cigna Utilization Management or fax your request to one of the numbers listed in the How to Contact Us for Referral or Authorization Requests document in the Documents section of the portal. You must log in to view the Documents section.
As of June 30, 2021- eviCore will process pre-certification requests for procedure codes related to musculoskeletal pain and joint management for Medicare Advantage plans with some exclusions. Requests may be entered directly at eviCore.com.