Sign-On  or Register  to access KP Online Affiliate

Cigna Providers & Facilities

Provider Information

smiling-female-doctor

Provider Details for an HMO, EPO, & POS 2-Tier Member

Effective August 1, 2022, Kaiser Permanente members with HMO (health maintenance organization) or participating EPO (exclusive provider organization) plans began to have access to emergency and urgent care services at Cigna negotiated rates via Cigna’s PPO (preferred provider organization) Network* of providers when traveling outside Kaiser Permanente states (California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) and if applicable, no payment is required from eligible members until after the claim is priced by Cigna and paid by Kaiser Permanente. 

Similarly, effective October 1, 2022, the above became applicable to Kaiser Permanente Point of Service (POS) 2-Tier members began to have access to emergency and urgent care services at Cigna negotiated rates via Cigna's Preferred Provider Organization (PPO) Network* of providers when traveling outside of Kaiser Permanente states.

The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration.

What this means to Cigna PPO Network Providers:

Cigna PPO Network Providers providing urgent or emergency care outside of Kaiser Permanente's service state (California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) should contact Kaiser Permanente as soon as possible for Cigna precertification questions, eligibility verification, and benefits verification at Kaiser Permanente's dedicated phone line for Cigna PPO providers: 888.831.0761.

Cigna PPO Network providers outside of Kaiser Permanente States will be reimbursed for qualifying for urgent or emergency care services they provide to eligible Kaiser Permanente (HMO, EPO, POS 2-Tier) members and should not collect cost share from eligible Kaiser Permanente members upfront once benefits/eligibility is determined.

Cigna providers are to send their urgent or emergency care claims for HMO, EPO, & POS 2-Tier members from ALL KP regions (excluding Washington) to: 

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

Please send your claims appeal or payment dispute to:

  • California - Northern

    Authorized Services Emergency Services
    Kaiser Referral Invoice Center (RISC)
    2829 Watt Avenue, Suite #130
    Sacramento, CA 95821
    Kaiser Foundation Health Plan, Inc.
    Claims Administration Department
    Attn: Provider Dispute Services Unit
    P.O. Box 23100
    Oakland, CA 94623

  • California – Southern
    Kaiser Foundation Health Plan, Inc.
    California Claims Administration
    Post Office Box 7006
    Downey, CA 90242-7006
  • Colorado
    Kaiser Permanente Colorado – Provider Appeals
    Claims Administration Department
    ATTN: Provider Appeals
    PO Box 373150
    Denver, CO 80237-1750
  • Georgia
    Kaiser Permanente Georgia – Provider Appeals
    Claims Administration Department
    ATTN: Provider Appeals
    PO Box 370010
    Denver, CO 80237-9998
  • Hawaii
    Kaiser Permanente Hawaii – Provider Appeals
    Claims Administration Department
    ATTN: Provider Appeals
    PO Box 378021
    Denver, CO 80237-9998
  • Mid-Atlantic States
    Kaiser Permanente MAS - Provider Appeals
    Claims Administration Department
    ATTN: Provider Appeals
    P.O. Box 371860
    Denver CO 80237-9998
    Fax: 855-414-2622
  • Northwest
    Kaiser Permanente Northwest – Provider Appeals
    Claims Administration Department
    ATTN: Provider Appeals
    PO Box 370050
    Denver, CO 80237-9998

  • All Regions Self-Funded Plans
    Kaiser Permanente Insurance Company
    Claims Administrator
    P.O. Box 30547
    Salt Lake City, UT 84130-0547
    EDI Payor ID # 94320

Cigna providers can easily identify Kaiser Permanente patients by checking their Kaiser Permanente Digital ID card or their new travel card:

  • For eligible members, the back of their updated digital ID card says:

  • New Disclaimer Text
    Note: Text on the digital ID card disclaimer is subject to change

  • Show their new travel card which they will start receiving in late-November. For eligible members, the back of their new Travel ID card says:
     
    Note: Text on the physical Travel ID card is subject to change

  • Members who are unable to present either form of verification may be verified eligible by calling 888.831.0761

Provider Details for an PPO, & POS 3-Tier Member

Effective January 1, 2023, Kaiser Permanente Insurance Company (KPIC) PPO and Kaiser Permanente’s POS 3-Tier members began to have access to most covered services including outpatient and inpatient services, but not limited to, emergency and urgent care services via Cigna’s PPO network of physicians, hospitals, and urgent care clinics while outside of a Kaiser Permanente states (California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington).

The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration.

What this means to Providers in Cigna's PPO network:


Cigna Providers and Facilities should check eligibility and benefits to determine covered services, send claims, and submit precertification requests as instructed on the ID card at Kaiser Permanente's dedicated phone line for Cigna PPO providers: 888.831.0761.

Cigna PPO Network providers outside of Kaiser Permanente States will be reimbursed for qualifying services they provide to eligible Kaiser Permanente (POS 3-Tier) or KPIC (PPO) members and should only collect applicable cost share from eligible Kaiser Permanente POS 3-Tier or KPIC PPO members upfront once benefits/eligibility is determined.

(Reimbursement based on Cigna reimbursement policies and provider’s Cigna PPO agreement)

  • Cigna providers are to send their claims for PPO and POS 3-Tier members from ALL KP regions (except Northwest & Washington) to: 

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

Please call the number listed on your claim denial notice or explanation of payment notice on how to appeal or dispute a claim.

Cigna providers can easily identify Kaiser Permanente or Kaiser Permanente Insurance Company patients by checking their Kaiser Permanente Physical ID card or Digital ID card.

  • For eligible members, the back of their new ID card says:

    Note: Text on the physical ID card is subject to change
  • SCAL POS:
    Cigna card

  • SCAL PPO:
    Cigna card

  • NCAL POS:
    Cigna card

  • NCAL PPO:
    Cigna card

  • CO POS:
    Cigna card

  • CO PPO:
    Cigna card

  • GA Dual Choice PPO:
    Cigna card

  • MAS Out of Area PPO:
    Cigna card

  • MAS Flexible Choice (POS 3-Tier):
    Cigna card

  • Members who are unable to present either form of verification may be verified eligible by calling 888.831.0761