These forms are in Adobe Acrobat format. If you don't have the free Adobe Acrobat Reader, Click here to download it. ADMINISTRATION MANUAL Section 1 Page II Cover MCC Page III MCC Agenda Page 1 - CIGNA MCC and CIGNA Healthcare Page 2 - MCC copays and ins Page 3 - MCC How to Read an MCC Member ID Card Page 4 - MCC ID Cards Page 5-7 MCC Claims Information and challenge info Page 8 - MCC Claims checklist Page 9 - MCC EOB provider text Page 10 - EOB Provider Sample Page11-12 - MCC Precertification Authorizations for CIGNA GPPO Page 13 - MCC obgyn tip.doc Page 14 - MCC outpatient procedures page Page 15 - MCC website Page 16 - MCC Direct letter Page 17 - MCC Direct Right for You Page 18 - MCC personal change Page 19-21 MCC Credentialing and Personal Change Information Contact Us Section 2 Page ii Cover CIGNA Page iii CIGNA Agenda CIGNA ID CARD BACK CIGNA ID CARD FRONT Page 2-3 CIGNA ID and plan info Page 4 CIGNA copays and ins Page 5-7 CIGNA Claims Information and challenge info page 8 CIGNA EOB prov text Page 9 EOB Provider Sample Page 10 CIGNA Claims Information Page 11 CIGNA obgyn tip Page 12 CIGNA PPO PRECERTIFICATIONS PROCESS Page 13a CIGNA phys to phys referrals Page 13-14 CIGNA Precertification Authorizations for CIGNA GPPO Page 15 CIGNA outpatient procedures page Page 16 CIGNA special needs care Page 17 CIGNA special needs care contd Page 18 CIGNA MCC Website Page 19 CIGNA-MCC Direct Letter Page 20 CIGNA MCC Direct Right for You Page 21 CIGNA-MCC Personal Change Section 3 Page ii Cover RC Page iii MCC Agenda Page 2-4 RC Health Plans Page 5 rc website Page 6 RC How to Read an RC Member ID Card Page 7-9 RC Claims Information and challenge info Page 10 RC claims checklist page 11 RC EOB prov text Page 12 EOB Provider Sample Page 13-14 RC Precertification Authorizations Page 15 RC outpatient procedures page 1 Page 16 MCC Direct letter Page 17 RC MCC Direct right for you Page 18-20 RC Credentialing and Personal Change Information Section 4 Page ii Cover FORMS Page iii FORMS agenda Page 22-32 mcc Credentialing Application combined cover letter 7-16 Page 33-42 MCCRe-Credentialing Application combined cover letter 7-16 Page 54 Sample Referral Page 55 Sample Precert
ADMINISTRATION MANUAL
Section 1
Page II Cover MCC Page III MCC Agenda Page 1 - CIGNA MCC and CIGNA Healthcare Page 2 - MCC copays and ins Page 3 - MCC How to Read an MCC Member ID Card Page 4 - MCC ID Cards Page 5-7 MCC Claims Information and challenge info Page 8 - MCC Claims checklist Page 9 - MCC EOB provider text Page 10 - EOB Provider Sample Page11-12 - MCC Precertification Authorizations for CIGNA GPPO Page 13 - MCC obgyn tip.doc Page 14 - MCC outpatient procedures page Page 15 - MCC website Page 16 - MCC Direct letter Page 17 - MCC Direct Right for You Page 18 - MCC personal change Page 19-21 MCC Credentialing and Personal Change Information Contact Us
Section 2
Page ii Cover CIGNA Page iii CIGNA Agenda CIGNA ID CARD BACK CIGNA ID CARD FRONT Page 2-3 CIGNA ID and plan info Page 4 CIGNA copays and ins Page 5-7 CIGNA Claims Information and challenge info page 8 CIGNA EOB prov text Page 9 EOB Provider Sample Page 10 CIGNA Claims Information Page 11 CIGNA obgyn tip Page 12 CIGNA PPO PRECERTIFICATIONS PROCESS Page 13a CIGNA phys to phys referrals Page 13-14 CIGNA Precertification Authorizations for CIGNA GPPO Page 15 CIGNA outpatient procedures page Page 16 CIGNA special needs care Page 17 CIGNA special needs care contd Page 18 CIGNA MCC Website Page 19 CIGNA-MCC Direct Letter Page 20 CIGNA MCC Direct Right for You Page 21 CIGNA-MCC Personal Change
Section 3
Page ii Cover RC Page iii MCC Agenda Page 2-4 RC Health Plans Page 5 rc website Page 6 RC How to Read an RC Member ID Card Page 7-9 RC Claims Information and challenge info Page 10 RC claims checklist page 11 RC EOB prov text Page 12 EOB Provider Sample Page 13-14 RC Precertification Authorizations Page 15 RC outpatient procedures page 1 Page 16 MCC Direct letter Page 17 RC MCC Direct right for you Page 18-20 RC Credentialing and Personal Change Information
Section 4
Page ii Cover FORMS Page iii FORMS agenda Page 22-32 mcc Credentialing Application combined cover letter 7-16 Page 33-42 MCCRe-Credentialing Application combined cover letter 7-16 Page 54 Sample Referral Page 55 Sample Precert
