Advantages of Being a Cigna Participating Provider
We share your commitment to providing quality health care to our customers and your patients. That's why we want to collaborate with you to drive better health, affordability, and experience.
- We can provide clinical resources. You'll have access to clinical care guidelines to help you decide how to screen for and treat various conditions.
- We support physician-patient communication. We encourage our participating providers to discuss treatments and procedures freely and openly, even if they're not covered by a customer's benefit plan.
- We focus on wellness. We want our customers to get healthy and stay healthy. That's why we offer customer health and wellness programs that provide 24-hour health information, support for healthy moms and babies, transplant care management, pharmacy outcome improvement and chronic condition management.
- We communicate with you. We want to be aware of your concerns, and we want you to be aware of what's happening at Cigna. Our Provider Newsroom provides important updates on policies and procedures, health-related news and tips, and more. In addition, we post important updates on this site. If you would like to voice a complaint or inquire about an appeal or dispute, please call 1.800.88Cigna (882.4462).
- Participating providers can have a peer-to-peer discussion about any utilization management decision which was not approved or certified. Providers can initiate peer-to-peer discussions by contacting the Cigna Health Services Department at 1.800.88Cigna (882.4462).
We recognize quality providers. Cigna's provider directories, available to Cigna customers and the general public, display recognition programs earned by providers who are evaluated by the National Committee for Quality Assurance (NCQA)1. Acknowledgement in our directory is given to providers who have received recognition in any of these five NCQA physician recognition programs:
- NCQA Diabetes Recognition Program (DRP)
- NCQA Heart/Stroke Recognition Program (HSRP)
- NCQA Patient-Centered Medical Home (PCMH) Recognition program (two versions)
- NCQA Patient Centered Specialty Practice Recognition (PCSP)
We also recognize physicians in our online provider directory who have received the Quality Oncology Practice Initiative (QOPI®) Certification Program. The Quality Oncology Practice Initiative Certification Program provides a three-year certification recognizing high-quality care for outpatient hematology-oncology practices within the United States (American Society of Clinical Oncology (ASCO) Practice Central, 2021). The QOPI Certification Program builds upon the success of the ASCO Quality Oncology Practice Initiative.
1 NCQA is a private, non-profit organization dedicated to improving health care quality