Complete the top section of this form completely and legibly. Check the box that most closely describes your appeal reason.

Mail Appeals to: Cigna-HealthSpring. PO Box 24087. Nashville, TN 37202. Mail Itemized Statements &. Medical Records to: Cigna-HealthSpring. PO Box 20002.

P.O. Box 20002. Nashville, TN 37202-4087. *Note the P.O. Box for Appeals is different than the P.O. Box for claims. Do not send certified mail to the P.O. Box.

Mail Appeals to: Cigna Medicare Advantage Appeals, PO Box 24087, Nashville, TN 37202 ... PO Box 20002, Nashville, TN 37202. By email ... Forms: Cigna.com ...

20 янв. 2021 г. · Attn: Claim Disputes/Reconsiderations. PO Box 20002. Nashville, TN 37202. Submit reconsiderations to: 924548 08/2020 INT_20_89273. Fax Number ...

Mail to: TennCare Member Medical Appeals PO Box 593. Nashville, TN 37202-0593. OR you can fax your form to: 1-888-345-5575 (Toll-Free). Be sure to keep a copy ... Не найдено: 20002 | Нужно включить: 20002

Appendix J, Sample of Claims Appeal Form ... PO Box 20002. Nashville, TN 37202. The Provider ... original claim number in box 22 form along with resubmission.

PO Box 20002. Nashville, TN 37202. You may also ask us for a coverage determination by phone at 1-800-222-6700 or through our website at www.cignahealthspring ...

Cigna-HealthSpring Attn: Reconsiderations PO Box 20002 Nashville, TN 37202 Fax: 1-615-401-4642 For help, call: 1-800-230-6138 Note: If you have multiple ...

PO Box 292167. Nashville, TN 37229. 3. Written requests may be faxed to the Funds at 1-800-382-7792. 4. Telephone requests can be made by calling 1-800-292 ...