Po box 188061 chattanooga tn 37422 8061

Cigna, PO Box 188061, Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 ... PO Box 15369, Springfield, MA 01115-5369 Electronic Payor ID: 87843 . Author:

ZIP Code 37422 is located in the city of Chattanooga, Tennessee and covers 0 square miles of land area. It is also located within Hamilton County. 37422 is classified as a PO Box ZIP Code. Its primary use is for Post Office box delivery. It may include some mailbox delivery as well, but this will be the minority use.P.O. Box 188050 Chattanooga TN 37422-8050. When Medicare is Primary. ... PO Box 52192 Phoenix, AZ 85072-2192. Note: If you have questions about the Program, wish to locate a preferred network pharmacy, NALC CareSelect Network retail pharmacy, or need additional claim forms, call 800-933-NALC (6252) 24 hours a day, 7 days a week. ... We would like to show you a description here but the site won’t allow us. PO Box 188061. Chattanooga, TN 37422-8061. United States. Additional information. NEW for 2021: Member ID cards will now have the Priority Health Logo on the front. Downloads. Cigna 2016 One Page.pdf. CIGNA Registration Restructure Fact Sheet.pdf.po box 188061 chattanooga, tn 37422-8061 active retired laid off disability leave other employee name: (please print first name, middle initial, last name social security no. marital status. single married divorced widowed legally separated street address: (street, city, state, zip code) date of birth: month/day/yearPO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims unco.myahpcare.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug ProviderOct 7, 2022 · Want to More Know about electronic claims submission Contact the Following SIGNA Helpline: 1-800-882-4462. For Cigna Paper Claims Mailing Address Please look at the back side of Your Member identity card or you can submit claims to the Following Cigna Claims address: PO field 182223. Chattanooga, TN 37422-72223. Cigna: PO Box 188061 , Chattanooga, TN 37422-8061 PRIMARY MEDICAL NETWORK: Cigna To find a Cigna provider, please visit MyCigna.com. Carry this card at all times. Failure to comply with precertification as specified by the plan may result in a reduction of benefits. Possession of this card or obtaining precertification does not guarantee coverage.

Administered by: Wellfleet PO Box 15369 Springfield, MA 01115-5369. ... PO Box 188061 . Chattanooga, TN 37422 – 8061 . Author: Kaitlyn Viera Created Date: 5/19/2023 10:56:42 AM ...Mail this completed form (Request for Health Care Professional Review) or a letter of appeal along with all supporting documentation to the address below: Cigna ID cards: If the Cigna ID card indicates: GWH -Cigna or ‘G’ on the front of the card: Cigna Appeals Unit Cigna Appeals Unit PO Box 188011 P.O. Box 188062 Chattanooga, TN 37422 ...Mail this completed form (Request for Health Care Professional Review) or a letter of appeal along with all supporting documentation to the address below: Cigna ID cards: If the Cigna ID card indicates: GWH -Cigna or ‘G’ on the front of the card: Cigna Appeals Unit Cigna Appeals Unit PO Box 188011 P.O. Box 188062 Chattanooga, TN 37422 ...Medical Claims: PO Box 188061 Chattanooga, TN 37422-8061 Payer ID# 62308 ... Pharmacy Service Center PO Box 188053 Chattanooga, TN 37422-8053 Member and Pharmacy Help Line: 800-325-1404 Benefits are not Insured by Cigna or affiliates. OnCall Global Assistance Center: (Toll Free) 1- 855-226-7915 (Collect) 1-603-952-2045Dec 6, 2021 ... PO Box 188061. Chattanooga, TN 37422-8061. Phone: 866-293-1683. Fax: 717-581-8379. Group Number: 5118. Group Name: OCSA. Make sure your provider ...

PO container 188061. Chattanooga, TN 37422-8061. Cigna Customer Service phone numbers. Individual Medical and Dental Insurances. Please Contact the Toll free … Medical Claims PO Box 188061 Chattanooga, TN 37422-8061 Payer ID #62308 Rx Claims: Pharmacy Service Center, PO Box 188053, Chattanooga TN 37422-8053 For Pharmacists Only 800-351-9170 Customers & Health Care Professionals call 1-866-494-2111 R418A (8/13) Mask 601 Issue Date: 10/31/14 Open Access Plus Away From Home Care LocalPlus myCigna.com PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY Dental Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: …Online Portal. Visit www.cignaoscar.com for a detailed guide on portal setup. Mailing Address. Cigna + Oscar PO Box 188061 Chattanooga, TN 37422-8061. Claim Disputes. …Where should I send claims? You can submit claims by mail or electronically: . Mail Cigna PO Box 188061 Chattanooga, Tennessee 37422-8061. Electronically Payer ID: 62308. You can also refer to the patient’s ID card for claim submission information. Do I need to collect the customer’s deductible or coinsurance at the time of service?

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Mail this completed form (Request for Health Care Professional Review) or a letter of appeal along with all supporting documentation to the address below: Cigna ID cards: If the Cigna ID card indicates: GWH -Cigna or ‘G’ on the front of the card: Cigna Appeals Unit Cigna Appeals Unit PO Box 188011 P.O. Box 188062 Chattanooga, TN 37422 ...PO Box 188014 Chattanooga, TN 37422. Created Date: 7/21/2021 8:17:14 AM ...Your provider is responsible for submitting claims directly to us. Or by mail to Cigna | PO Box 188061 | Chattanooga, TN 37422-8061. If your provider is within the Cigna + Oscar network and won’t submit your claim or hasn’t responded within 30 days, reach out to your Care Team.PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug ProviderP.O. Box 272540 Chico, CA 95927-2540. More information about claim submission can be found on the Blue Shield website: For services outside California, submit claims to Cigna PPO Network. Electronic Submission via EDI. Paper Claim Mailing Address: Cigna PO Box 188061 Chattanooga, TN 37422-8061. Electronic Funds Transfer (EFT) Claim Payments

For routine follow-up, please use the Claims Follow-Up Form instead of the Health Care Professional Dispute Resolution Form. Mail the completed form to: California Health Care Professional Dispute Resolution Request Cigna If GWH -Cigna or ‘G’ is listed on the front of the card: PO Box 188011 PO Box 188062 Chattanooga, TN 37422 Chattanooga ... If you’re in the market for a new Jeep in Chattanooga, TN, one of the most exciting parts of the car-buying process is taking a test drive. Before jumping behind the wheel, take so...po box 188061 chattanooga tn 37422-8061: 800-288-2078: cigna internationalpreferred: po box 15050 wilimington de 19850: 800-441-2668: cigna life insurance: po box 22325 pittsburgh pa 15222: 412-505-4100: cigna medicare supplement: po box 30010 austin tx 78755-3010: 866-459-1755: cigna-allegiance:PO Box 211543 Eagan, MN 55121. If your patient has an Aetna logo on their ID card and an 8-digit Group # (eg. GRV12345), submit claims to: Payer ID: 41147. Mail to: ... PO Box 188061 Chattanooga, TN 37422-8061. Prior …P.O. Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 1.We must receive your claim form within a specific period of time from the date you received the service, unless your plan or state laws allow for more time. Cigna + Oscar coverage is insured by Cigna Health and Life Insurance Company. Benefits are administered by … P.O. Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 1.We must receive your claim form within a specific period of time from the date you received the service, unless your plan or state laws allow for more time. Cigna + Oscar coverage is insured by Cigna Health and Life Insurance Company. Benefits are administered by Mulberry GUIDE TO YOUR EXPLANATION OF BENEFITS. Simple format. See how your benefits are working for you with this easy-to-understand document. It shows you the costs associated with the medical care you’ve received. When a claim is filed under your health benefits plan, you get an Explanation of benefits (EOB). PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims unco.myahpcare.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug ProviderMar 11, 2022 ... HEALTHGRAM (CIGNA), PO BOX 188061 CHATTANOOGA TN 37422-8061 ; HEALTHKEEPERS, PO BOX 27401 RICHMOND VA 23279, 800 533 1120 ; HEALTHLINK, INC. PO ...

Medical Claims PO Box 188061 Chattanooga, TN 37422-8061 Payer ID #62308 Customer & Health Care Professionals call 1-866-494-2111 Rx Claims: Pharmacy Service Center, PO Box 188053, Chattanooga TN 37422-8053 For Pharmacists Only 800-351-9170 R418A (8/13) Mask 601 network, visit multiplan.com Issue Date: 06/10/20 myCigna.com

P.O. Box 188061 Chattanooga, TN 37422-8061. Electronic Payments. Please complete this electronic payment form with your company's banking information to authorize BeniComp to disperse your funds via ACH.Jan 1, 2014 ... PO Box 188061 Chattanooga, TN 37422 - 8061. Name John Doe. Cigna ... Submit/mail claims to: Cigna Payor 62308, PO Box 188004, Chattanooga, TN ...P.O. Box 188061, Chattanooga, TN 37422-8061 . Payer ID 62308 . Explanation of Payment (EOP) — You’ll receive an EOP for billed services with processing information for the visit. Pharmacy — Call MedImpact at . 1-80 0-788-2949, 24 hours a day, 7 days a week. Be sure to have the member’s full name, date of birth, and medical record number ...Get ratings and reviews for the top 7 home warranty companies in Lewisburg, TN. Helping you find the best home warranty companies for the job. Expert Advice On Improving Your Home ...PO Box 188061 . Chattanooga, TN 37422-8061 . 866.494.4872 . A. Plan Benefits . Plan Benefits are governed by this Summary Plan Document and your Summary of Benefits and Coverage. B. Plan Interpretation . This Summary Plan …P.O. Box 272540 Chico, CA 95927-2540. More information about claim submission can be found on the Blue Shield website: For services outside California, submit claims to Cigna PPO Network. Electronic Submission via EDI. Paper Claim Mailing Address: Cigna PO Box 188061 Chattanooga, TN 37422-8061. Electronic Funds Transfer (EFT) Claim PaymentsPO Box 188050 Chattanooga, TN 37422-8050. Form 41C - Complete this questionnaire in full when you or a covered family member have: 1) coverage under any other health plan 2) automobile insurance that pays health care expenses without regard to fault 3) Medicare coverage, or 4) a workplace-related illness or injury. In this section. Partners. CIGNA

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PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308. Non-Cigna PPO Providers Wellfleet Group, LLC dba Wellfleet Administrators, LLC PO Box 15369 Springfield, MA 01115-5369. Bills should be submitted within ninety (90) days of service.PO Box 3018 Missoula, MT 59806 Payer ID 81040 Other Providers submit claims to: Cigna PO Box 188061 Chattanooga, TN 37422-8061 Payer ID: 62308 270/271 EDI Transactions Payer ID: 81040 WellVia telemedicine: 855-935-5842 www.wellviasolutions.com This card does not guarantee eligibility or payment.As the world takes a step away from in-office working conditions, the completion of paperwork more and more happens online. The po box 18807 chattanooga tn isn' ...Looking for fun activities in Chattanooga that are FREE? Click this now to discover the best FREE things to do in Chattanooga, TN - AND GET FR Chattanooga, resting on the Tennessee...Your provider is responsible for submitting claims directly to us. Or by mail to Cigna | PO Box 188061 | Chattanooga, TN 37422-8061. If your provider is within the Cigna + Oscar …PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug ProviderEPB Fiber Optics is a popular internet and cable provider in Chattanooga, Tennessee. The company offers high-speed internet, cable TV, and phone services to residents and businesse...2806 S. Garfield St. P.O. Box 3018 Missoula, MT 59806 ... PO Box 188061 Chattanooga, TN 37422-8061 Payer ID 62308 Allegiance Online Verification of Benefits:2077 Roosevelt Ave. Springfield MA 01104. 877.657.5030. www.wellfleetstudent.com. CIGNA. PO Box 188061. Chattanooga, TN 37422-8061. Electronic Payor ID: 62308. Lehigh University Student Health InsuranceNew Graduate students starting at Lehigh during the Summer term: Information on Summer coverage is available at: …IMPORTANT CLAIM FILING INFORMATION. BENEFIT CLAIM FORM GROUP MEDICAL BENEFITS. Mail all Claims to Cigna PPO at PO Box 188061, Chattanooga TN 37422-8061. Mail all Benefit Claim Form and Referral Forms (if applicable) to HealthSmart Benefit Solutions, Inc. at 3320 W Market St, Suite 100, Fairlawn, OH 44333. ….

Claims should be submitted by you, the provider, to Cigna for repricing according to contracts. Please send to: Cigna, PO Box 188061, Chattanooga, TN 37422-8061. For services that require precertification please call Bywater support (800)-337-0792. If outside of Bywater’s standard business hours please call within 72 hours if it is the ...Oct 27, 2023 · PO Box 9030 Farmington, MO 63640-9030: Salud con Health Net: ... Farmington, MO 63640-9040: Cigna: Cigna PO Box 188061 Chattanooga, TN 37422: View Claims Details Online P.O. Box 272540 Chico, CA 95927-2540. More information about claim submission can be found on the Blue Shield website: For services outside California, submit claims to Cigna PPO Network. Electronic Submission via EDI. Paper Claim Mailing Address: Cigna PO Box 188061 Chattanooga, TN 37422-8061. Electronic Funds Transfer (EFT) Claim PaymentsMost providers will take the claims information from your card and file on your behalf. If you need to file a claim directly please submit to the address on the back of your card or use the online claims submission tool. If you have a benefit question, you may call our Customer Service Department at 1-800-877-1122 .Administered by: Wellfleet PO Box 15369 Springfield, MA 01115-5369. ... PO Box 188061 . Chattanooga, TN 37422 – 8061 . Author: Kaitlyn Viera Created Date: 5/19/2023 10:56:42 AM ... Therefore, the airSlate SignNow web application is a must-have for completing and signing po box 18801 chattanooga tn 37422 on the go. In a matter of seconds, receive an electronic document with a legally-binding signature. Get po box 18223 chattanooga tn signed right from your smartphone using these six tips: PO Box 188061 Chattanooga, TN 37422-8061 (EDI #62308) File claims within 30 days of Injury or first treatment for a Sickness or as soon as reasonably possible. Claim Forms are not required. Bills should be received by the Company within 90 days of service. Bills submitted after one year P.O. Box 188061 Chattanooga, TN 37422-8061. Electronic Payments. Please complete this electronic payment form with your company's banking information to authorize ... Cigna + Oscar coverage is insured by Cigna Health and Life Insurance Company.CA: benefits administered by Oscar Health Administrators. Other states: benefits administered by Oscar Management.P.O. Box 188011 Chattanooga, TN 37422-8011 Refer to your ID card to determine the appeal address to use below. Mail the completed Appeal Request Form or Appeal Letter … Po box 188061 chattanooga tn 37422 8061, Chattanooga Family Practice. A Commitment to Our Community (423) 892-2221. Contact Us. Our goal is to help our patients feel healthy and happy. 961 Spring Creek Rd, Chattanooga, TN 37412, USA (423) 892-2221. Submit. Thanks for submitting! [email protected], All claims will be processed by Allegiance at its facility in Missoula, MT. Checks and EOBs will come from Allegiance. EFT/835. Zelis. (877) 828-8770. [email protected]. Working with Allegiance. Confidential, unpublished property of Allegiance Benefit Plan Management, Inc. Do not duplicate or distribute., PO Box 188061 Chattanooga, TN 37422 - 8061 CIGNA HEALTH AND LIFE INSURANCE COMPANY Payment includes Cigna Health and Life Insurance Company insurance …, GUIDE TO YOUR EXPLANATION OF BENEFITS. Simple format. See how your benefits are working for you with this easy-to-understand document. It shows you the costs associated with the medical care you’ve received. When a claim is filed under your health benefits plan, you get an Explanation of benefits (EOB). , PO Box 188061 Chattanooga, TN 37422-8061 or Payer ID: 62308 Cigna will forward priced claims to Allegiance electronically for processing. Claims submitted electronically will be accepted or rejected based on an eligibility match. If rejected, the provider will receive a 999 response file., P.O. Box 188061. Chattanooga, TN 37422-8061. Electronic Payor ID: 62308. If you receive treatment from an Out-of-Network provider, you may be required to pay ..., PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred PPO Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider, CHATTANOOGA. TN. 37415. AEL - MEMPHIS. PO BOX 586. ARLINGTON. TN ... PO BOX 188061. CHATTANOOGA. TN. 37422-8061. CIGNA ... TN DEPT. OF COMMERCE & INSURANCE., Payer ID 95567, PO Box 9040 Farmington, MO 63640-9040 Health Net of California, Inc. provides the health benefits under this plan Outside of California Medical & Mental Health Benefit Claims Cigna Medical Claims Payer ID 62308, PO Box 188061 Chattanooga, TN 37422-8061 Benefits are not insured by Cigna or affiliates Access may vary . …, P.O. Box 6018, Cleveland, OH 44101–1018. Providers not in SuperMed PPO Network. (For ... P.O. Box 188061. Chattanooga, TN 37422–8061. Cigna Group #: 1234567., PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY Dental Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: www.libertydentalplan.com , GUIDE TO YOUR EXPLANATION OF BENEFITS. Simple format. See how your benefits are working for you with this easy-to-understand document. It shows you the costs associated with the medical care you’ve received. When a claim is filed under your health benefits plan, you get an Explanation of benefits (EOB). , PO Box 188061 Chattanooga, Tennessee 37422-8061 Electronically: Payer ID: 62308 You can also refer to the patient’s ID card for claim submission information. Do I need to collect the customer’s deductible or coinsurance at the time of service? No. Send your claims to Cigna for processing., PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY Dental Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: …, PO Box 188061 Chattanooga, TN 37422-8061 1.859.410.2440 . 1.877.804.1443 . 1.859.410.2439 . Appeals for customers with GWH-Cigna ID cards : PO Box 668 ... PO Box 23487 Chattanooga, TN 37422-3487 . N/A . CLAIMS AND APPEALS MAILING ADDRESS CONSOLIDATION: QUICK REFERENCE For Health Care Professionals July 1, 2014 ., 401 Cedar St. Box 249 Greenville, AL 36037 (334) 488-5028 [email protected] Preferred PPO Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or Cigna Open Access Plus (OAP) www.cigna.com Send Cigna claims to: CIGNA PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug …, PO Box 9040 Farmington, MO 63640-9040: Medi-Cal: Health Net Medi-Cal Claims PO Box 9020 Farmington, MO 63640-9020: Medicare Advantage: ... Farmington, MO 63640-9040: Cigna: Cigna PO Box 188061 Chattanooga, TN 37422: View Claims Details Online Providers Have Access to Claims Details 24/7., PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY Dental Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: …, PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider For information about the Wellfleet Rx/ESI Prescription Drug Program, please visit www.wellfleetstudent.com Your plan includes Wellfleet Rx – offering over 40 generics at a $0 copay. Please ask your health care provider to review our, For routine follow-up, please use the Claims Follow-Up Form instead of the Health Care Professional Dispute Resolution Form. Mail the completed form to: California Health Care Professional Dispute Resolution Request Cigna If GWH -Cigna or ‘G’ is listed on the front of the card: PO Box 188011 PO Box 188062 Chattanooga, TN 37422 Chattanooga ..., PO Box 188061 Chattanooga, TN 37422-8061 Behavioral Health and Substance Abuse Services Evernorth Behavioral Health, Inc. Electronic Payer ID: 62308 Cigna + Oscar PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY Dental, Get ratings and reviews for the top 7 home warranty companies in Lewisburg, TN. Helping you find the best home warranty companies for the job. Expert Advice On Improving Your Home ..., PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY Dental Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: www.libertydentalplan.com …, PO Box 188061 Chattanooga, TN 37422-8061 Pediatric Vision Services Davis Vision Vision Care Processing P.O. Box 1525 Latham, NY 12110 Pediatric Dental Services LIBERTY Dental Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: www.libertydentalplan.com , Oct 27, 2023 · PO Box 9030 Farmington, MO 63640-9030: Salud con Health Net: ... Farmington, MO 63640-9040: Cigna: Cigna PO Box 188061 Chattanooga, TN 37422: View Claims Details Online , Springfield MA 01104 877.657.5030 www.wellfleetstudent.com, CIGNA PO Box 188061. Chattanooga, TN 37422-8061. Electronic Payor ID: 62308. Bursar's Office., What's 37422-8000? 37422-8000 is a ZIP Code 5 Plus 4 number of PO BOX 188000 (From 188000 To 188099), CHATTANOOGA, TN, USA. Below is detail information., PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic Payor ID: 62308 Prescription Drug Provider For information about the Wellfleet Rx/ESI Prescription Drug Program, please visit www.wellfleetstudent.com Your plan includes Wellfleet Rx – offering over 40 generics at a $0 copay. Please ask your health care, Mail the completed Appeal Request Form or Appeal Letter along with all supporting documentation to the address below: If the ID card indicates: Cigna Network If the ID card indicates: GW - Cigna Network Cigna Appeals Unit Cigna Appeals Unit. P.O. Box 188011 P.O. Box 188062 Chattanooga, TN 37422-8011 Chattanooga, TN 37422-8062., PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308. Non-Cigna PPO Providers Wellfleet Group, LLC dba Wellfleet Administrators, LLC PO Box 15369 Springfield, MA 01115-5369. Bills should be submitted within ninety (90) days of service. Keep copies of all the documents you submit. , PO Box 188061 Chattanooga, TN 37422-8061 www.cigna.com You can confirm a provider is participating in the Cigna PPO network by calling: 877.657.5039. Pre-Certification is required for the following services: All Inpatient Hospitalization, High Risk Maternity, Routine Maternity (if Inpatient stay exceeds federal, We would like to show you a description here but the site won’t allow us., P.O. Box 3018 Missoula, MT 59806-3018 Toll Free: 800-877-1122 Local: 406-721-2222. Companies Allegiance Benefit Plan Management, Inc. Allegiance Advantage Allegiance ...