cigna

  1. D

    Wiki Cigna and Medicare Chiropractic Denials

    Hello, Our office's in AZ and IL are having an issue with all CMT denials with Cigna not paying and we get "Contract rate not on file" ( we are OON) But have never had this issue before, When we call and ask, we get a 3rd party, telling us its a Medicare NCCI edit. But wont help with anything...
  2. K

    Wiki CIGNA BILATERAL PROCEDURES

    IS ANYONE ELSE HAVING TROUBLE WITH CIGNA AND BILATERAL PROCEDURES. I WORK FOR AN ENT IN TEXAS WE FILE CIGNA CLAIMS WITH LEFT AND RIGHT MODIFIERS EXAMPLE 69433 TUBE PLACEMENT. THEY WILL PAY FOR THE LEFT,BUT DENY THE RIGHT STATING BENEFIT MAXIMUM FOR THI STIME PERIOD OR OCCURENCE HAS BEEN REACHED...
  3. T

    Wiki Cigna / ABA therapy

    Hello there, I am having difficulty with Cigna and hoping someone out there has some advice. We are an out of network provider for Cigna. They send our claims to Multiplan, who contacts us to negotiate a payment. Sometimes we are only offered 10-40% of what we bill. Obviously, I do not accept...
  4. Walker22

    Wiki Definitive Drug Testing for Cigna

    Cigna has recently released a drug testing policy that allows 8 definitive tests per date of service. Due to this limitation, they have determined that G0482 and G0483 are not medically necessary (because both codes exceed the 8 test maximum) and not payable. My lab now has a coding dilemma: 1...
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