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Get the free cigna vision claim form 2013
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IMPORTANT: This claim form is intended for subscribers and covered ... completed CMS-1500 form (also known as a HCFA-1500 form) to Cagney Vision at the ...
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How to fill out cigna vision claim form

How to fill out Cigna vision claim form:
01
Gather the necessary information: Make sure you have your personal details, such as name, contact information, and Cigna insurance information ready.
02
Provide the patient's information: Fill in the patient's name, date of birth, and Cigna member ID.
03
Specify the vision provider: Indicate the name and contact information of the vision provider who rendered the services.
04
Describe the services: Clearly state the date of service, the type of vision service received, and any corresponding diagnosis or reason for the visit.
05
Include itemized details: Provide a breakdown of the charges for each service received, including the fee for the exam, glasses, contacts, or any other applicable charges.
06
Attach supporting documents: If required by Cigna, include any additional documents, such as a receipt or invoice from the vision provider.
07
Sign and date the form: Ensure that you sign and date the claim form in the designated areas.
08
Submit the claim form: Send the completed claim form, along with any supporting documents, to the address specified on the form or through the preferred method outlined by Cigna.
Who needs Cigna vision claim form:
01
Individuals who have Cigna vision insurance coverage.
02
Those who have received vision services from an in-network provider.
03
Individuals who would like to be reimbursed for vision-related expenses covered by their Cigna vision plan.
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