Po box 188061 chattanooga tn 37422 8061

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. Payer ID #62308. Claims Submission. Submit Dental Claims to: AultCare. P.O. Box 6910. Canton, OH 44706 te: OF. This ...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: https://financeadmin.lehigh.edu ...EPB 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...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 … 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

For costs and details of coverage, see your plan documents. Policy forms: OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. (CHLIC). Your employer may offer an Exclusive Provider Organization (EPO) plan through Cigna Healthcare. Find out how it works so you can choose what’s best for you.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.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 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 PaymentsP.O. Box 188061 Chattanooga, TN 37422–8061 Cigna Group #: 1234567 Providers in SuperMed PPO Network (For services rendered in the state of Ohio, Campbell, Boone and Kenton counties in KY) Medical Mutual & SDC Claims Submission Electronic Claims Payer ID: 29076 & 31117 P.O. Box 6018, Cleveland, OH 44101–1018

Chattanooga, TN 37422. Fax: 1-833-635-2044. Be sure to include the following: Member’s first and last name. Molina Healthcare ID number. This is on the front of the Member ID Card Member’s address and telephone number. Explain the problem. We have a Member Appeal and Grievance Form you can use to file your appeal.Medical Claims PO Box 188061 Chattanooga, TN 37422-8061 Payer ID #62308 Rx Claims: Pharmacy Service Center, PO Box 188053, Chattanooga TN [PDF] Contact Information - Cigna P O Box 188011 Chattanooga, TN 37422 Fax: 1 877 815 4827 1 866 494 2111 Cigna GWH-Cigna National Appeals P O Box 668 Kennett, MO 63857P.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 MulberryMedical Claims: PO Box 188061 Chattanooga, TN 37422-8061 Payer ID #62308 Rx Claims: Connecticut General Life Insurance Company, Pharmacy Service Center, PO Box 188053, Chattanooga, TN 37422-8053 Member and Pharmacy Helpline: 800-325-1404 Benefits are not insured by Cigna oraffiliates. Confidential, unpublished property of Cigna.Submit Great-West Healthcare-Cigna (GWH-Cigna) claims directly to GWH-Cigna at the claims address on the member's ID card: PO Box 188061, Chattanooga, TN 37422-8061. Submit electronic claims with payer number 62308. GWH-Cigna Sample Card. C/O Cigna Business.

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PO 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. CIGNAFor costs and details of coverage, see your plan documents. Policy forms: OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. (CHLIC). Your employer may offer an Exclusive Provider Organization (EPO) plan through Cigna Healthcare. Find out how it works so you can choose what’s best for you.Complex Claim Review. PO Box 188015. Chattanooga, TN 37422. Fax: 1.859.410.2421. Once we complete our review, we will process and reimburse the claim accordingly, and issue an explanation of payment. We will also send you a letter explaining any charges determined to be not payable, the supporting rationale, and appeal information.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

P.O. Box 188061 Chattanooga, TN 37422–8061 Cigna Group #: 1234567 Providers in SuperMed PPO Network (For services rendered in the state of Ohio, Campbell, Boone and Kenton counties in KY) Medical Mutual Claims Submission Electronic Claims Payer ID: 29076 & 31117 P.O. Box 6018, Cleveland, OH 44101–1018 DEDUCTIBLE AND OUT-OF …Medical Claims: PO Box 188061 Chattanooga, TN 37422-8061 Payer ID #62308. Dental Claims: Cigna Dental PO Box 188037 Chattanooga, TN 37422-8037 Payer ID #62308.Medical Claims: PO Box 188061 Chattanooga, TN 37422-8061 Payer ID #62308 Rx Claims: Connecticut General Life Insurance Company, Pharmacy Service Center, PO … Claims should be addressed to CIGNA PPO (same address you already have listed). EDI Payer ID: 62308. Claims should be submitted to: Cigna PPO. PO Box 188061. Chattanooga, TN 37422-8061. See Claims for further information or contact the Student Health Insurance Office at 970-351-1915 or [email protected]. policy info. 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 … Health Care Professional Application to Appeal a Claims Determination. Submit to: Cigna HealthCare – National Appeals Unit/NAO If by mail, at: PO Box 188011, Chattanooga, TN 37422. If by courier service, at: Cigna National Appeals (#188011) c/o of ACS 5810 Brainerd Rd, Chattanooga, TN 37411. If by Fax, to: 1.877.815.4827. 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 …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:We would like to show you a description here but the site won’t allow us.P.O. Box 188061 Chattanooga, TN 37422–8061 Cigna Group #: 1234567 Providers in SuperMed PPO Network (For services rendered in the state of Ohio, Campbell, Boone and Kenton counties in KY) Medical Mutual & SDC Claims Submission Electronic Claims Payer ID: 29076 & 31117 P.O. Box 6018, Cleveland, OH 44101–1018

PO Box 188061 Chattanooga, TN 37422 - 8061 CIGNA HEALTH AND LIFE INSURANCE COMPANY Payment includes Cigna Health and Life Insurance Company insurance …

P.O. Box 188061 Chattanooga, TN 37422–8061 Cigna Group #: 1234567 Providers in SuperMed PPO Network (For services rendered in the state of Ohio, Campbell, Boone …Jan 1, 2020 ... Payer ID 62308, PO Box 188061. Chattanooga, TN 37422-8061. Health Net of California, Inc. provides the health benefits under this plan.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 …Dec 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 BOX 188061, CHATTANOOGA, TENNESSEE, 37422 ... BLUE CROSS OF TENNESSEE, 1 CAMERON HILL CIRCLE ... DELTA DENTAL OF TENNESSEE, 240 VENTURE CIRCLE, NASHVILLE ...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 188081 Chattanooga, TN 37422 Fax #: 855-350-8671 For all Non Contracted Provider Appeals a completed Waiver of Liability is required in order to process your appeal. The Waiver of Liability Statement must be signed. Your appeal request will not be considered without receipt of a signed Waiver of Liability Statement. You can either mail ...

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P.O. Box 188061 Chattanooga, TN 37422-8061. Electronic Payments. Please complete this electronic payment form with your company's banking information to authorize ...PO Box 188061. Chattanooga, TN 37422-8061. Electronic Payor ID: 62308. Bursar's Office. Bursar's Office. 27 Memorial Drive West | Bethlehem, PA 18015-3093. PH ...P.O. Box 188061 Chattanooga, TN 37422–8061 Cigna Group #: 1234567 Providers in SuperMed PPO Network (For services rendered in the state of Ohio, Campbell, Boone and Kenton counties in KY) Medical Mutual Claims Submission Electronic Claims Payer ID: 29076 & 31117 P.O. Box 6018, Cleveland, OH 44101–1018 DEDUCTIBLE AND OUT-OF … Contact Cigna Healthcare Customer Service at 1 (800) 997-1654 or visit this page to find phone numbers for plan and coverage questions or a claims mailing address. 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.P.O. Box 188061 Chattanooga, TN 37422–8061 Cigna Group #: 1234567 Providers in SuperMed PPO Network (For services rendered in the state of Ohio, Campbell, Boone and Kenton counties in KY) Medical Mutual & SDC Claims Submission Electronic Claims Payer ID: 29076 & 31117 P.O. Box 6018, Cleveland, OH 44101–1018 CLT1 …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 P.O. Box 26110 Santa Ana, CA 92799 Prescriptions/ SpecialtyPO Box 5200 Scranton, PA 18505. Eligibility/Billing Phone: Fax: 1 (603) 268-7830. Cigna Healthcare Employer Services PO Box 2010 Concord, NH 03302. Information for all other Brokers: Cigna Healthcare Sales Offices For questions or more information about Cigna Healthcare, please select a sales office in your state:PO Box 188011 Chattanooga, TN 37422 Fax: 877.815.4827 For patients with GWH-Cigna or “G” ID cards: Cigna National Appeals PO Box 188062 Chattanooga, TN 37422-8062 Fax: 877.804.1679 Submit or inquire about health care professional credentialing 800.88Cigna (882.4462)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.PO Box 188081 Chattanooga, TN 37422. Phone (Expedited Appeals Only): (TTY 711) Phone (Arizona Expedited Appeals Only): (TTY 711) Fax: Hours for phone and fax: October 1-March 31: 8 am-8 pm, 7 days a week April 1-September 30: Monday-Friday 8 am-8 pm, Saturday 8 am-6 pm Messaging service used weekends, after hours, and federal holidays. ….

Submit precertification electronically . Sign up for electronic payments. Review customers' clinical information. Where should I send claims? You can submit claims by …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 ...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 careP.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 ...P.O. Box 188061 Chattanooga, TN 37422-8061 HEALTH CLAIM FORM INSTRUCTIONS: THIS SIDE OF THE FORM MUST BE COMPLETED IN FULL. Attach this form to itemized bills for all expenses being claimed. The bills must show: Patient’s Name, Type of Service, Date(s) of Service(s), and the Total Charge. If you are submitting a surgical bill orPO Box 188061 Chattanooga, TN 37422-8061. Mental Health and Substance Use Disorder Claims: Cigna Healthcare Behavioral Health, Inc. Attn: Claims Service Dept. P.O. Box 188022 Chattanooga, TN 37422PO 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 careJan 1, 2020 ... Payer ID 62308, PO Box 188061. Chattanooga, TN 37422-8061. Health Net of California, Inc. provides the health benefits under this plan. Po box 188061 chattanooga tn 37422 8061, 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 (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 will not be, 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 …, 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., P.O. Box 188061 Chattanooga, TN 37422–8061 Cigna Group #: 1234567 Providers in SuperMed PPO Network (For services rendered in the state of Ohio, Campbell, Boone and Kenton counties in KY) Medical Mutual & SDC Claims Submission Electronic Claims Payer ID: 29076 & 31117 P.O. Box 6018, Cleveland, OH 44101–1018 CLT1 (2022_MM_PPO_Outside Ohio ... , P.O. Box 15369 P.O. Box 196 Springfield, MA 01115 Stillwater, MN 55082 www.wellfleetstudent.com (800) 328-2739 ... PO Box 188061 Chattanooga, TN 37422-8061 Electronic Payor ID: 62308 Find Network Provider Wellfleet Student or Cigna OAP www.cigna.com (877) 657-5030, 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], Chattanooga, TN 37422. Fax: 1-833-635-2044. Be sure to include the following: Member’s first and last name. Molina Healthcare ID number. This is on the front of the Member ID Card Member’s address and telephone number. Explain the problem. We have a Member Appeal and Grievance Form you can use to file your appeal., 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, P.O. Box 188061 Chattanooga, TN 37422-8061 HEALTH CLAIM FORM INSTRUCTIONS: THIS SIDE OF THE FORM MUST BE COMPLETED IN FULL. Attach this form to itemized bills for all expenses being claimed. The bills must show: Patient’s Name, Type of Service, Date(s) of Service(s), and the Total Charge. If you are submitting a surgical bill or, PO Box 188061 Chattanooga, TN 37422‐8061 Payer ID: 62308 Medical Pre‐Certification / Pre‐treatment Review Allegiance Care Management (800) 342‐6510 Fax numbers below: For pretreatment review: 406‐532‐3513 Home Health/Hospice: 406‐532‐1502 For Inpatient Certs: Medical 406‐532‐1501, P.O. Box 188061 Chattanooga, TN 37422-8061 Payer ID 62308 Submit Claims to: Cigna PO Box 188061 Chattanooga, TN 37422-8061 Payer ID: 62308 We encourage you to use a PCP as a valuable resource and personal health advocate. This card does not guarantee eligibility or payment. Member Medical Plan Covered Person: JOHN SAMPLE Reid Hospital Group ID ... , Insured by Cigna Health and Life Insurance Company. Insurance benefits administered by Oscar Management, a third-party administrator. Cigna Administered by Oscar health insurance contains exclusions and limitations., P.O. Box 188061 Chattanooga, TN 37422–8061 Cigna Group #: 1234567 Providers in SuperMed PPO Network (For services rendered in the state of Ohio, Campbell, Boone …, Zip Code 37422 Map. Zip code 37422 is located mostly in Hamilton County, TN.This postal code encompasses addresses in the city of Chattanooga, TN.Find directions to 37422, browse local businesses, landmarks, get current traffic estimates, road conditions, and more.. Nearby zip codes include 37402, 37403, 37408, 37405, 37404., May 1, 2024 · 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. , 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, Providers may submit claims electronically to CIGNA Payor 62308. Questions? Call Member Services at (800) 638-6589, EPB 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..., PO Box 15369 Springfield, Massachusetts 01115-5369 (877) 657-5030, TTY 711 www.wellfleetstudent.com Preferred Provider Listings Cigna Claims Wellfleet Student www.wellfleetstudent.com or Cigna Open Access Plus (OAP) www.cigna.com Send Cigna claims to: CIGNA OAP PO Box 188061 Chattanooga, TN 37422 – 8061 Electronic …, PO Box 188061 Chattanooga, Tennessee 37422-8061 Electronically Payer ID: 62308 . Frequently asked questions ... PO Box 188061 Chattanooga, TN 37422-8061 , PO Box 188061, Chattanooga, TN, 37422-8061 Electronic Claims Submission for Medical Claims: Payer ID # 62308 For a list of Preferred Providers: www.Cigna.com Submit Pharmacy Claims to: WellDyne; Members: 1-888-964-0039 Providers: 1-800-345-5413 Electronic Claims Submission for Pharmacy Claims: RxBIN:; PCN: ADV; Rx Grp:, PO Box 188061 Chattanooga, TN 37422 - 8061 CIGNA HEALTH AND LIFE INSURANCE COMPANY Payment includes Cigna Health and Life Insurance Company insurance benefits and payments from FI BENEFIT SHARED SERVICES Health Reimbursement Account Customer service Call the number on the back of your ID card or 1-866-494-2111 MyCigna.com, PO Box 188061. Chattanooga, TN 37422-8061. Electronic Payor ID: 62308. For Non-Cigna PPO Providers: Wellfleet Group, LLC dba Wellfleet Administrators, LLC PO ..., Below is the GWH-Great West Healthcare Cigna Claims address and phone number: PO Box 188061. Chattanooga, TN 37422-8061 …. Read more., PO BOX 188061 Chattanooga, TN 37422-8061 PRESCRIPTIONS MaxorPlus Rx BIN: 005377 Rx PCN: 10000019 Rx GRP: 11800 Customer Service: (800) 687-0707 www.maxorplus.com Direct questions regarding eligibility, benefits, or claim status to: 90 DEGREE BENEFITS POBox 54139 Lubbock, TX 79453-4139 Customer Service: …, PO Box 188014 Chattanooga, TN 37422. Created Date: 7/21/2021 8:17:14 AM ..., PO Box 188011 Chattanooga, TN 37422. Cigna Healthcare Medicare Attn: Part C Appeals (Medical) PO Box 188081 Chattanooga, TN 37422. Cigna Healthcare Inc. National …, PO Box 188061 Chattanooga, TN 37422-8061. Mental Health and Substance Use Disorder Claims: Cigna Healthcare Behavioral Health, Inc. Attn: Claims Service Dept. P.O. Box 188022 Chattanooga, TN 37422, Home. > Providers. > CIGNA PPO. Claims Auditing. National Provider Identifier Requirements. Claim Submission. Find a Doctor or Hospital. CIGNA PPO. EDI Payor ID: …, 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, 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, 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.