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Part B EDI Products and Services

CIGNA Government Services can help you take advantage of electronic claims transmission, along with numerous other electronic services.

Electronic Claim Submission

Submitting your claim information electronically has proven to be the most efficient way to process your claims -- and you're paid sooner.

Electronic Receipt Listings

Within two days of a successful transmission, electronic billers can confirm that CIGNA Government Services received their claim information by downloading a summary report of the transmission. This report will also show any errors that occurred which caused claims to reject and did not make it into the system. For an example of this report, click here. PDF Document

Electronic Remittance Notices

You can electronically receive the same information reported on paper remittance notices. Some billing software packages offer automatic posting to your accounts receivable and/or patient billing system. Save TIME and MONEY by taking advantage of FREE Medicare Remit Easy Print (MREP) software now available for viewing and printing of the HIPAA compliant Electronic Remittance Advice (ERA). For more information please access the Medicare Remit Easy Print (MREP) page.

The format specifications for the ANSI 4010A1 835 (Electronic Remittance Advice) are available through the Washington Publishing Company.

PPTN (Professional Provider Telecommunication Network)

Overview of Claim Status Inquiry (CSI) and Beneficiary Eligibility (BE)

The CIGNA Government Services (CGS) Professional Provider Telecommunication Network (PPTN) system allows a provider to electronically check the status of claims and establish a patient's eligibility prior to claim submission. Use of this feature requires a third party connectivity provider such as IVANS or VISIONSHARE.

To view the PPTN manual, go to our website at: http://www.cignagovernmentservices.com/partb/claims/edi/pdf/EDI_PPTN_manual.pdf PDF Document

CMS 835 Companion Document

Part B Companion Document/Trading Partner Agreement (Version 4010A1)

ANSI 4010A1 276/277 Companion Document

The HIPAA-Ready Stratus Manual

Claim Status Inquiry 4010A1 276/277

Find out if your claims have been paid, denied, or are still pending. Part B EDI accepts the ANSI 4010A1 276/277 Claims Status Inquiry/Claims Status Response paired transaction sets. Claims Status Inquiry (CSI) allows suppliers and providers to check the status of claims within three days of successful transmission.

Electronic Funds Transfer

Stop waiting for your check to arrive in the mail--CIGNA Government Services can deposit your claims payment for you! This feature does not require any special technical setup, nor does it require you to be an electronic biller.

OCNA List

OCNA List

NOTE: This list is valid for Tennessee, North Carolina, and Idaho.

Getting Started

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