Claims

Where do Cigna Healthcare providers send their claims?

Cigna Healthcare PPO Network Providers should check eligibility and benefits to determine covered services, send claims, and submit precertification requests as instructed on the ID card. Cigna Healthcare PPO Network providers outside of Kaiser Permanente states (Outside of California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) rendering care to an eligible Kaiser Permanente or Kaiser Permanente Insurance Company member should send claims to Cigna for pricing at:

Cigna Medical Claims

P.O. Box 188061
Chattanooga, TN 37422-8061
Payer ID 62308

Through this collaboration, Cigna Healthcare PPO Network providers outside of Kaiser Permanente States will be reimbursed for qualifying services they provide to eligible** Kaiser Permanente (HMO, EPO, POS 2-Tier, 3-Tier POS) or KPIC (PPO) members. However, Cigna Healthcare PPO Network providers outside of Kaiser Permanente States should only collect appliable cost share (once their eligibility and benefits are determined) from eligible Kaiser Permanente 3-Tier POS or KPIC PPO members at the time of service.

Online check of claim status

KP Online Affiliate is available 24 hours a day, seven days a week. With access to Online Affiliate, you can quickly check the status of submitted claims (and get comprehensive details) without making a phone call.Want to learn more about Online Affiliate? Click the appropriate link below associated with the KP region where you submitted claims.

California – Northern
California – Southern
Colorado
Georgia
Hawaii
Mid-Atlantic States
Northwest

 

*The Cigna Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration. Cigna Healthcare is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with the Kaiser Permanente health plans. The Cigna Healthcare PPO Network is provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property, Inc.

**Eligibility Exceptions: The Cigna Healthcare PPO Network* enhanced experience for our members is not available to:

• HMO, EPO, PPO, & POS members enrolled in coverage issued by Kaiser Foundation Health Plan of Washington and Kaiser Foundation HealthPlan of Washington Options, Inc.
• PPO and POS 3-Tier members enrolled in coverage issued by Kaiser Foundation Health Plan of Northwest.
• Medicare members
• Medicaid members (Medi-Cal in California)

***Kaiser Permanente Insurance Company (KPIC) is a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP).