Cigna-HealthSpring's Appeal Form is attached for your use. The Appeal Form is not required to file appeals with us, but it is provided for your convenience as an option to help capture the needed information to process your appeals. This form may be particularly helpful if you need to appeal many claims for the same reason - you can use just one form: Provider Claims Appeal Form [PDF].
There are three ways to appeal a previously processed claim:
Requests for claim appeals must be made within 120 days from the date of remittance of the Explanation of Payment (EOP).
Within 5 business days of receiving a written claim appeal, Cigna-HealthSpring will send an acknowledgement letter to the appealing provider. Provider Claim Appeals are resolved within 30 days of receipt. Cigna-HealthSpring will send written notification of the resolution to the Provider. Providers can refer to the Cigna-HealthSpring Provider Manual for more information about claims filing and claims appeals.
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
You may also request any information from this website in audio, larger print, braille or another language.
Selecting these links will take you away from Cigna.com.
This web site uses files in Adobe Acrobat Portable Document Format (PDF). This is useful for forms that you want to view and/or print. To view or print these files, download and install the free Adobe Acrobat Reader. Get Adobe Reader