Part B EDI Technical Support
This page is designed as your resource for technical support, and technical and documentation requirements. Before enrolling in EDI, it is important that you read, understand, and become familiar with the following information.
- Contact Information
- Technical Requirements for Products/Services
- Testing Requirements for Part B Providers
- Documentation Requirements for all EDI Submitters
CIGNA Government Services EDI Support is available Monday through Friday during regular business hours. Contact information is provided for each state and region where claims are processed. Still have questions? Use our Online Help Center "Inquiries or Comments" section to submit a question via e-mail.
Contact Information for CIGNA Government Services EDI Departments
| State | Toll-Free Phone Number | Address |
|---|---|---|
| North Carolina | 866.352.1608 | CIGNA Government Services ATTN: EDI Department 4135 Mendenhall Oaks Pkwy Suite 101 High Point, NC 27265 |
| Idaho | 866.520.4022 | CIGNA Government Services ATTN: EDI Department Two Vantage Way Nashville, TN 37228 |
Technical Requirements for Products and Services
Please be aware that vendors, clearinghouses, and billing services offer various packages, which may or may not include the ability to utilize all of the features we offer. The following information will help you communicate your needs with your in-house programmers, or vendors and outside services.
Important: For more information on HIPAA and the ANSI format please visit our HIPAA section.
| Feature | Requirements |
|---|---|
| Claims Submission |
|
| Part B Medicare Claims Express Software |
|
| Electronic Remittance Notices |
|
| Claim Status Inquiry |
|
| Electronic Funds Transfer |
|
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Testing Requirements
EDI Technical Analysts are available to discuss and assist in the testing process.
Important: For more information on HIPAA and the ANSI format please visit our HIPAA section.
| Part B |
|---|
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Documentation Requirements
CIGNA Government Services requires certain documentation to ensure proper billing.
| Source Documents | Source documents are records verifying that the service billed was actually performed. Both the provider and CIGNA Government Services should review source documents in advance, and agree upon acceptable documentation. CMS specifies that source documents and medical records, pertaining to any particular Medicare claim, must be maintained for a minimum period of seven (7) years after the date the bill has been paid. |
|---|---|
| Beneficiary Signature Requirements | To simplify the transmission and processing
of electronic claims, providers can use one of two methods to
obtain the beneficiary's authorization:
|
| Medigap Signature Requirements | Payment information for assigned claims is forwarded to the Medigap insurers. A separate beneficiary authorization for Medigap assignment is required. A unique identifying number (the "OCNA") is assigned to these insurers for ease in electronic filing. |
| Provider Signature Requirements | When the EDI Enrollment Form is completed, provider signature requirements are met for electronic claims. |
| Educational Verification | CIGNA Government Services will contact you to assist you in meeting these documentation requirements. |
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