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Use the following guidelines to assist in submitting electronic claims with attachments and for submitting claims corrected or secondary claims to Cigna.

For submission of electronic claims with attachments, including high-dollar itemized claims:

• In the 837: Loop 2300 PWK (paperwork) segment of the claim, indicate that notes will be faxed or mailed.  (Do not put the actual notes in the segment.)
• Include the following on the notes:
  • Patient name
  • Patient Cigna ID
  • Date of birth
  • Date of service
  • Total amount billed
  • Health care professional Tax Identification Number
• Fax to:
  • (859) 410-2421 - Cigna high-dollar claims
  • (859) 410-2422 - Cigna general claims (non-high dollar claims)
  • (877) 804-1443 - GWH-Cigna claims (all)

For submission of corrected claims: 

• In the Claim Frequency Type Code in Loop 2300, Segment CLM05, specify the frequency of the claim.  (This is the third position of the Uniform Billing Claim Bill Type.)
• Use one of these codes: 
  • 1 – Original (admit through discharge claim)
  • 7 – Replacement (replacement of prior claim)
  • 8 – Void (void/cancel of prior claim)

For submission of secondary claims:

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