Submit a claim

Please review requirements below before claim

✔︎  Name and address of the health care provider 

✔︎  Patient name and patient ID (see Cigna ID card) 

✔︎  Employer name/Policy ID (see Cigna ID card) › Patient’s date of birth

✔︎  Diagnosis 

✔︎  Description of all services rendered

✔︎  Detailed charge per each service, including health care provider fees

✔︎  Date of service

✔︎  Banking details/payment instructions 

✔︎  Copy of Guarantee of Payment