Sign-in

 
 
Forgot Password?
 Need an Account? Click here.

 Credentialing Questions? Click here

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

 

HSConnect Enhancements

The following enhancements were released in February and March 2022 for providers in all markets, except Arizona. Please note, all users may not have access to some claims features.

  • Ability to view patient demographic information on the Authorization Details screen including patient first name, last name, ID number, and date of birth
  • Ability to print authorization details to hand to the patient
  • Improved ability to search claims by patient
  • Claims search screen expansion and improvements
  • Ability to view in-depth patient information (e.g., copay, coinsurance, deductibles, etc.) in the details of the claim for claims submitted after February 3rd, 2022.

HSConnect Provider Portal User’s Guide

 

The HSConnect Portal Enhancement Resource Guide is your comprehensive source for information about the portal, including answers to frequently asked questions, and where to find additional resources and support.

 

To open the guide, click on the appropriate link below.

 

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 the following training modules:

 

 

Prior authorization requirements and forms

As a reminder, you can find prior authorization requirements and forms on the Cigna Medicare Advantage website for providers. Go to MedicareProviders.Cigna.com > Find a Form

 

Support for providers

 

Description

Contact

General questions – Cigna Medicare Advantage (except Leon/Miami)

Claims, eligibility, benefits, copayments, status of claims and prior authorizations, and other inquiries (e.g., Prior authorization required?)

Provider Customer Service

Monday-Friday, 8:00 a.m.-5:00 p.m. CT  

800.627.7534 – Arizona only

800.230.6138 – all other states

HSConnect provider portal support  (Leon/Miami only) 

New accounts, password changes, and general help

LMCHP Provider Relations

305.646.3776 or

305.631.5242

LMCHPProviderRelations@Cigna.com  

HSConnect Provider Portal support (except Leon/Miami)

New accounts, password changes, questions, and general help

HSConnect Help Desk 

Monday-Friday, 7:00 a.m.-4:30 p.m. CT 

866.952.7596, option 2

HSConnectHelp@HSConnectOnline.com

Complaints, questions, and training information

Your Network Operations Representative

Referral requests and prior authorization requests

Provider Customer Service

Monday-Friday, 8:00 a.m.-5:00 p.m. CT  

800.627.7534 – Arizona only

800.230.6138 – all other states

 

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 HSConnect provider 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.

 

 

In observance of the Holiday, the Provider Portal Help Desk will close at 2pm, Friday, May 27th and will be closed Monday, May 30th. We will return on Tuesday, May 31st at 7am.

Important update about Post-Acute Care Requests                                                                                                                                          Effective for admissions beginning 6/1/22 or later, all SNF, IRF & LTAC requests must be submitted to eviCore at www.evicore.com/ep360                          Note: Excludes plans in Delaware, Maryland, New Jersey, Pennsylvania, and Washington D.C.              

Please use this Google Chrome browser when accessing the Provider Portal. The Provider Portal is only fully compatible with Google Chrome.

It is recommended to periodically Clear Browsing Data for the best Provider Portal performance.

Note: We are currently experiencing issues where some Servicing Providers are not populating when entering authorizations on the portal. We are working to resolve this issue but there is no ETA at this time. You can contact Health Services or use the Auth Form link and fax it in to 609-336-3250 until the issue is resolved.  Authorization Fax Form.