UT Physicians

2007

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Additional Information

Cigna

Sharlene Mitchell

Phone: (713) 576-4369

Fax: (713) 576-4557

Address:

2 Riverway, Ste. 1200

Houston, TX 77056

Active Contracts - - Product Details

Cigna Health Plans of Texas

HMO - - Effective Date: April 1, 1997
	Referral Required
	FRONT OFFICE
Eligibility/Verification Phone Number:		1-800-244-6224
Precert/Authorization Phone Number:		1-800-558-7361
Precert/Authorization Fax Number:		1-800-558-7365
Mental Health Carve Out:		Cigna Behavior Health - 1-888-800-8849
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		60 days
Appeal Time Frame:		120 days by date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
UT Pathology, Quest

Memorial Hermann Contracted? YES

HMO Open Access - - Effective Date: July 1, 2001
	FRONT OFFICE
Eligibility/Verification Phone Number:		1-800-244-6224
Precert/Authorization Phone Number:		1-800-558-7361
Precert/Authorization Fax Number:		1-800-558-7365
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		60 days
Appeal Time Frame:		120 days by date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
UT Pathology, Quest

POS - - Effective Date: April 1, 1997

	FRONT OFFICE
Eligibility/Verification Phone Number:		1-800-244-6224
Precert/Authorization Phone Number:		1-800-558-7361
Precert/Authorization Fax Number:		1-800-558-7365
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		60 days
Appeal Time Frame:		120 days by date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
UT Pathology, Quest

Memorial Hermann Contracted?		Yes

PPO - - Effective Date: April 1, 1997
	FRONT OFFICE
Eligibility/Verification Phone Number:		1-800-244-6224
Precert/Authorization Phone Number:		1-800-558-7361
Precert/Authorization Fax Number:		1-800-251-6070
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		60 days
Appeal Time Frame:		120 days by date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
UT Pathology, Quest, Clinical Pathology Labs

Memorial Hermann Contracted?		Yes

Cigna Select - - Effective Date: April 1, 1997
	FRONT OFFICE
Eligibility/Verification Phone Number:		1-800-244-6224
Precert/Authorization Phone Number:		1-800-238-8801
Precert/Authorization Fax Number:		713-623-6458
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		60 days
Appeal Time Frame:		180 days by date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
N/A

Memorial Hermann Contracted?		Yes

Carve Out-Cigna Transplant Network - - Effective Date: May 1, 1998
	FRONT OFFICE
Eligibility/Verification Phone Number:		1-800-244-6224
Precert/Authorization Phone Number:		1-800-558-4314, Option# 4
Precert/Authorization Fax Number:
	CLAIMS FILING & BILLING INFORMATION
Claim Filing Deadline:		60 days
Appeal Time Frame:		120 days by date of EOB
Claim Payor:		See Patient Card
Claim Address:		See Patient Card
Electronic Claim Accepted?		Yes
	LABS
Quest

Memorial Hermann Contracted?		Yes

Questions? Email us at UTPBusinessOperations@uthouston.edu.
For individual physician participation status, please refer to the UT Physicians Provider Participation Directory.