BETTER HEALTH WERE IN IT TOGETHER Working together

BETTER HEALTH. WE’RE IN IT TOGETHER. Working together to provide affordable, accessible, quality health care Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna MAPAM May 17, 2018 Eric Demers

Better health. We’re in it together. KEEPING YOU UPDATED The latest information on policy, precertification, and coverage updates Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 2

resources for you • Quarterly Network News • Cigna for Health Care Professionals website (Cignafor. HCP. com) Email: Network. News. Editor@Cigna. com to be added to the distribution Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 3

Recent coverage policy updates Effective 01. 15. 18 Genetic Testing Policy – Multigene Testing Panels Pretest Genetic Counseling Requirement policy and coverage updates Effective 05. 19. 18 Facility Routine Services, Supplies, and Equipment (R 12) Pharmacy and Infusion Services (R 14) Effective 06. 15. 18 Transcatheter Ablation of Arrhythmogenic Foci in the Pulmonary Veins for the Treatment of Atrial Fibrillation (AF) Effective 06. 22. 18 Cardiac Resynchronization Therapy (CRT) Cervical Fusion Effective 07. 01. 18 Cardiac Ablation for Supraventricular Tachycardia (SVT) To view our existing policies, including an outline of monthly coverage policy changes and a full listing of medical coverage policies, visit the Cigna for Health Care Professionals website Cignafor. HCP. com > Resources > Coverage Policies >Policy Updates. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 4

Recent precertification updates Effective 04. 01. 18 CPT Codes added to the precertification list: 0036 U 0037 U 0012 M 0013 M Precertification changes HCPC Codes added to the precertification list: Q 2041 C 9466 Q 5103 C 9467 Q 5104 C 9468 C 9463 C 9469 C 9464 C 9479 C 9465 A 9699 To view an online list of monthly precertification updates, as well as the complete list of services that require precertification of coverage, log in to the Cigna for Health Care Professionals website (Cignafor. HCP. com) and click Precertification Policies under Useful Links. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 5

EVICORE HEALTHCARE PRECERTIFICATION FOR HIGHTECHNOLOGY RADIOLOGY AND DIAGNOSTIC CARDIOLOGY SERVICES FOR CARELINK CUSTOMERS IN MASSACHUSETTS AND RHODE ISLAND Effective July 1, 2018

What’s happening > evi. Core healthcare provides utilization management services, including precertification, for high-technology radiology (CT, MRI, and PET scans) and diagnostic cardiology services for our customers nationwide. > Effective July 1, 2018, we will expand this program to include customers with Cigna-administered Care. Link® plans in Massachusetts and Rhode Island. > Identify these customers through the ID card below, which contains a Cigna logo in the watermark located in the center, as well as the Care. Link® logo in the top right corner. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 7

WHAT’S HAPPENING > To submit precertification requests: – Log in to the evi. Core website at www. evi. Core. com > Login: Providers. If you are not registered for this website, click “Register” to get started. – Call evi. Core at 1. 888. 693. 3297 (7: 00 a. m. – 7: 00 p. m. EST) > For additional information on our high-technology radiology and diagnostic cardiology services, please call evi. Core at 1. 888. 693. 3297, or view our clinical guidelines at www. evicore. com. > For questions about patient benefits eligibility and coverage, please call Cigna Customer Service at 1. 800. 88 Cigna (1. 800. 882. 4462). > For all other service requests, continue business as usual. > Quick Reference Guide (QRG) available on the Cigna for Health Care Professionals website at Cignafor. HCP. com (https: //cignaforhcp. cigna. com/public/content/pdf/resource. Library/medical/Pr _Tufts_QRG. pdf). Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 8

Telehealth services Online and on-demand health care delivery services Our telehealth network, Cigna Telehealth Connection®, is through MDLIVE® and American Well. Providers must contract directly with American Well or MDLIVE to participate in their networks. American Well* American. Well. com > Providers > Telehealth for Group Practices > Join Online Care Group MDLIVE. com > Providers > Physicians Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 9

Demographic changes Please notify us in writing 90 days before changing your office or billing address, telephone number, Taxpayer Identification Number (TIN), National Provider Identifier (NPI), or specialty. How you can submit changes* Online: Log in to Cignafor. HCP. com > Working with Cigna > Update Demographic Information Email: Intake_PDM@Cigna. com Fax: 1. 877. 358. 4301 Mail: Cigna Provider Data Management Two College Park Drive Hooksett, NH 03106 * Third-party vendor states are Idaho, Iowa, Montana, Nebraska, New Mexico, North Dakota and South Dakota. For these states, submit your changes directly to the third-party vendor. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 10

CIGNA PROVIDER DIGITAL SOLUTIONS Offered by Cigna Health and Life Insurance Company or its affiliates XXXXXX

Better health. We’re in it together. · · Pended claim attachments Enhancements to patient and plan detail information Registration and access changes in development Prior authorization improvements in development CIGNAFORHCP. COM AGENDA Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 12

Cigna Provider Digital Solutions The Provider Digital Solution Team’s mission is to reduce the administrative burden of doing business with Cigna through digital interactions. We need your feedback to understand your experience with Cigna so we can devise and implement solutions which will benefit all providers. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 13

PENDED CLAIM ATTACHMENTS Submit them electronically on Cignafor. HCP. com! Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 14

Submit pended claim attachments electronically Cignafor. HCP. com What’s new? You’ll be able to: • Electronically submit supporting documentation for pended claims • • Pend reason codes will more clearly • explain what additional information is • needed. • Determine what documentation is needed Submit requested information quickly Reduce administrative costs related to pended claims Potentially avoid claim denials as the result of missing submission deadlines. When you use this feature, we’ll be able to process your pended claims more quickly. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 15

Submit pended claim attachments electronically About attachments You can: Send up to six files at a time, for a total file size of 35 MB (max size for individual files is 10 MB). Submit them in any of these formats: BMP, GIF, JPEG, PDF, PNG, or TIF. Easily convert a Microsoft file into a PDF. Go to File > Save As > Save as Type (drop-down) > PDF. Name files with a maximum of 128 characters, including the file extension. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 16

PATIENT AND PLAN DETAIL Cignafor. HCP. com patient and plan details page enhancements are now available Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 17

Patient Coverage Details screen enhancements HRA, HSA and FSA information Health and Wellness Programs tab Is this patient innetwork? Quickly see if your patient has one of these health accounts; found under the Patient and Plan Detail tab. See what programs are available for your patients. To help support your discussions about healthier lifestyles or improving chronic conditions. Click on a link to quickly the view plans and networks you are tied to and see if the patient is innetwork Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 18

Patient Coverage Details screen enhancements Confidential, unpublished property of Cigna. Do not duplicate or

REGISTRATION AND ACCESS Changes to how access to Cignafor. HCP. com are in development Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 21

Website access managers: A new role Website Access Manager • Register new users • Manage users’ level of access Users • Perform functions on Cignafor. HCP. com relevant to their role • Available functions are controlled by the Access Manager Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 22

What we’ll be asking of registered website users Verify: • Registration information: Email address and role • Identify one or more Access Managers for your organization Request by: • Sending an Email • Pop-up screen when you log in to the website Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2018 Cigna 23

Q&A Thank you! Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc. , and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All models are used for illustrative purposes only. © 2018 Cigna. Some content provided under license. 25