Provider Resources


 

Clinical Practice Guidelines

 
 

Update Your Information

Ensure your office is properly listed in the Cigna-HealthSpring Provider Directory and that your claims payments are sent to the correct address by providing timely, advance notification of demographic changes. Complete the Provider Information Change Form.
 
  • Tax identification number;

  • Office address;

  • Billing address;

  • Telephone number;

  • Changes in practice limits or office hours;

  • Specialty; and

  • New Provider additions to an existing practice
 
 

PCP Panel Reports

On a monthly basis, Cigna-HealthSpring supplies each PCP with a Member panel report. The report contains a listing of all Members assigned to the PCP's membership panel and is sent to PCPs within five (5) days of receiving State eligibility files. PCPs are responsible for providing and/or coordinating care for the all Members on the report.
 
You can access your PCP panel report by going to the Cigna-HealthSpring Provider Portal. If a Member does not appear on your PCP's panel report, call the Cigna-HealthSpring Provider Services Department to verify the Member’s PCP assignment at 1-877-653-0331.
 
 

Provider Credentialing

If you are not a Cigna-HealthSpring STAR+PLUS Provider, but you are interested in joining our network, please fill out the appropriate form below. For additional information contact us by phone or e-mail at:
 
STAR+PLUS Provider Support Team via telephone at 1-877-653-0331 or via email MedicaidProviderOperations@healthspring.com
 
Practitioner Interest Form
 
Facility/Ancillary Network Interest Form
 
Fax completed form and requested documents to 877-440-7260.
 
 

Provider Complaint and Appeal Process

Cigna-HealthSpring is committed to providing excellent service to its participating providers. In the event a provider feels Cigna-HealthSpring is falling short of this goal, he/she should contact the Provider Services Department immediately by calling 1-877-653-0331. Learn more about the process.