Who they are
Plan types on the card
Cigna Open Access Plus, LocalPlus, HMO and network products, and Medicare Advantage. Cigna carries a substantial self-funded ASO book, particularly among large employers.Enrollment and credentialing
Start at cignaforhcp.cigna.com. Credentialing generally pulls from CAQH.EDI, ERA, and EFT
Standard three-part enrollment through your clearinghouse and Cigna’s enrollment process.Appeals
Reconsideration then appeal; the process differs by plan type.Quirks worth knowing
- 🧠 Behavioral health is administered through Evernorth. Contracting with Cigna medical does not put you in the behavioral network. This requires separate contracting and credentialing, and it is a frequent surprise for behavioral health groups. See Behavioral health.
- Self-funded volume is high among large employers — ERISA analysis applies to much of the book
- Network naming varies by product; confirm which network your contract covers