Cigna Medicare provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.healthspring.com/providers |
|---|---|
| Payer contact reference | 1-800-230-61381-800-230-6138 is listed for provider customer service concerning EDI; verify the current product and service-date scope. |
| Claims payer ID | Current HealthSpring Medicare Advantage provider instructions list claims ID 52192 through Availity Essentials or a preferred vendor. Confirm the member product, service date and vendor before using this current route for a historical Cigna Medicare record. |
| Eligibility payer ID | Stored eligibility references remain unverified for the current product and transaction. A claims identifier must not be reused for 270/271 routing. |
| ERA payer ID | 63092 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier. |
| Timely filing | 120 days (verify applicability) |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- 1-800-230-6138 is listed for provider customer service concerning EDI; verify the current product and service-date scope.
- This registry has not established a payer-specific appeal ladder for Cigna Medicare. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier.
Cigna Medicare at a glance
| Legal name | Cigna Medicare Advantage |
|---|---|
| Also known as | Cigna MA, Cigna HealthSpring, Cigna Medicare Part D |
| Category | Medicare Advantage |
| Historical registry organization reference | The Cigna Group (MA business sold to HCSC, closing 2026). This canonical record retains its historical Cigna identity. Current HealthSpring provider resources do not verify the stored legal name or parent descriptor as current; confirm the responsible product and service date before using current routing. |
| Claims payer ID | Current HealthSpring Medicare Advantage provider instructions list claims ID 52192 through Availity Essentials or a preferred vendor. Confirm the member product, service date and vendor before using this current route for a historical Cigna Medicare record. |
| Eligibility (270/271) payer ID | Stored eligibility references remain unverified for the current product and transaction. A claims identifier must not be reused for 270/271 routing. |
| ERA (835) payer ID | 63092 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier. |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Members covered | ~600k members |
| Provider resource entry point | https://www.healthspring.com/providers |
| Provider phone | 1-800-230-61381-800-230-6138 is listed for provider customer service concerning EDI; verify the current product and service-date scope. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Cigna Medicare
This registry lists 120 days as an initial-claim reference for Cigna Medicare. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 120 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Cigna Medicare. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Cigna Medicare provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Cigna Medicare
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Cigna Medicare electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Cigna Medicare. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Cigna Medicare
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Cigna Medicare volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | Current HealthSpring Medicare Advantage provider instructions list claims ID 52192 through Availity Essentials or a preferred vendor. Confirm the member product, service date and vendor before using this current route for a historical Cigna Medicare record. |
| 270 / 271 eligibility | Listed in registry; verify current scope | Stored eligibility references remain unverified for the current product and transaction. A claims identifier must not be reused for 270/271 routing. |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 63092 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- This canonical record retains historical Cigna names. Current HealthSpring resources must be matched to the product and service date; the stored legal name and parent descriptor are not verified as current.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
Historical identity and current resources
Source comparison: 2026-09-26
HealthSpring’s provider site identifies the former Cigna Medicare offering. Historical names remain qualified; this comparison does not replace or approve the stored legal entity or parent descriptor.
Primary source for historical identity and current resourcesCurrent Medicare Advantage claims routing
Source comparison: 2026-09-26
Current claims guidance lists 52192 via Availity or a preferred vendor. The universal 63092 claims scalar is withdrawn; historical product applicability and eligibility/ERA routing remain unverified.
Primary source for current medicare advantage claims routing
Not checked in this pass: Whole-record approval, legal identity and all ownership relationships; Product-specific filing and appeal rules beyond the stated findings; Transaction-specific eligibility/ERA IDs and live electronic capabilities; Authenticated access, QuickIntell integrations and outcomes.
Sources used for this guide
Evaluate QuickIntell workflow fit for Cigna Medicare
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Cigna Medicare; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Cigna Medicare; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Cigna Medicare before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Cigna Medicare
Where is the Cigna Medicare provider portal?
Use https://www.healthspring.com/providers as a starting point for Cigna Medicare provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Cigna Medicare?
This registry lists 120 days as an initial-claim reference for Cigna Medicare. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
Does Cigna Medicare publish a single claims payer ID?
This registry has not established one all-product claims payer ID for Cigna Medicare. Claims: Current HealthSpring Medicare Advantage provider instructions list claims ID 52192 through Availity Essentials or a preferred vendor. Confirm the member product, service date and vendor before using this current route for a historical Cigna Medicare record.. Eligibility (270/271): Stored eligibility references remain unverified for the current product and transaction. A claims identifier must not be reused for 270/271 routing.. ERA (835): 63092 — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier.. Do not substitute a claims ID for an unverified transaction ID. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does Cigna Medicare accept electronic claims?
Verify Cigna Medicare electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Cigna Medicare denial?
This registry has not established a payer-specific appeal ladder for Cigna Medicare. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Cigna Medicare prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Cigna Medicare provider phone number?
This registry lists 1-800-230-6138 as a contact reference for Cigna Medicare. 1-800-230-6138 is listed for provider customer service concerning EDI; verify the current product and service-date scope.
Automate workflows around Cigna Medicare requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Cigna Medicare's current published documents before submission. CPT® is a registered trademark of the American Medical Association.