Cigna DMGMA Annual Update Lorie JenningsForrester March 21

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Cigna DMGMA Annual Update Lorie Jennings-Forrester March 21, 2012

Cigna DMGMA Annual Update Lorie Jennings-Forrester March 21, 2012

Cigna – Annual Update Today’s Topics: • • • Cigna’s New Branding Integration News

Cigna – Annual Update Today’s Topics: • • • Cigna’s New Branding Integration News HCP Website review Cost of Care Estimator update EDI Attachments & Corrected or Secondary Claims Online Remittance Reports Med. Solutions, Inc Bravo Health HIPAA-5010/ICD 10 Demographic Changes Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 2

Cigna’s New Brand: Some of the changes you may have seen or will notice

Cigna’s New Brand: Some of the changes you may have seen or will notice in the coming months: • Our name • Our logo • ID cards Our new brand identity more closely aligns with our strategy and our mission, to help the people we serve improve their health, well-being and sense of security. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 3

Cigna’s New Brand: Our Name: We are still Cigna, but now you’ll see that

Cigna’s New Brand: Our Name: We are still Cigna, but now you’ll see that we are using both upper and lower case letters. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 4

Cigna’s New Brand: Our Logo: We’ve changed our logo to reflect our focus on

Cigna’s New Brand: Our Logo: We’ve changed our logo to reflect our focus on our customers (your patients) and our commitment to connect people with quality health care. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 5

Cigna’s New Brand: Our ID Cards: • The Cigna Logo has been removed •

Cigna’s New Brand: Our ID Cards: • The Cigna Logo has been removed • The card background is now white • The Cigna name now appears in upper & lower case letters Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 6

Integration News The Cigna and GWH-Cigna contracts integrated 04/01/2011 • Cigna Agreement and its

Integration News The Cigna and GWH-Cigna contracts integrated 04/01/2011 • Cigna Agreement and its rate schedules will apply to GWH-Cigna patients. • Integrated Payor ID • Separate claim and call services for your patients • Separate Networks • Different contractual relationships with Vendors Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 7

Integration News Introducing one payor ID for claim submission As part of Cigna’s enhancements

Integration News Introducing one payor ID for claim submission As part of Cigna’s enhancements to support the Version 5010 updates, we have consolidated to one Cigna payor ID (62308) *If your clearinghouse has not migrated to 5010, you will still require separate payor ID’s for GWH and Cigna. Old GWH-Cigna payor ID that is being integrated: ID 80705 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 8

Integration News Separate Call & Services Channels continue • Cigna maintains separate networks for

Integration News Separate Call & Services Channels continue • Cigna maintains separate networks for your patients with GWH-Cigna ID cards • Continue to reference the ID card • ID card still has GWH-Cigna listed in top right corner Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 9

Integration News Once secure website coming soon • We will transition to one secure

Integration News Once secure website coming soon • We will transition to one secure website for both the Cigna and GWH-Cigna networks within the fourth quarter of 2012 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 10

Cigna e. Services Cigna Has Two Websites Which Are Free to Use If you

Cigna e. Services Cigna Has Two Websites Which Are Free to Use If you provide service to customers with Cigna ID cards, access this website for: Cigna for Health Care Professionals Website www. cignaforhcp. com • Eligibility and benefit inquiries • Patient liability estimator • Precertification • Claim status inquiry • Remittance reports • View Claim Coding Edits • Other resources If you provide service to customers with GWH-Cigna ID cards, access this website for: Secured Provider Portal www. gwhcignaforhcp. com • Eligibility and benefit inquiries • Precertification • Claim status • Claim payment and explanation • View Claim Coding Edits • Other resources Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna THN-2011 -051 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized 11

Cigna e. Services Enter your User ID and Password to log in to the

Cigna e. Services Enter your User ID and Password to log in to the Cigna for Health Care Professionals website (www. cignaforhcp. com) Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna THN-2011 -051 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized 12

Resources Page • Cigna reference guides • Claim appeals policy • Claim submission addresses

Resources Page • Cigna reference guides • Claim appeals policy • Claim submission addresses and requirements • Disease management programs • Electronic prescription submission • Pharmacy formulary • Provider directory Remember to check the site often for policy and procedure updates. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 13

Cigna e. Services • Enter your User ID and Password to log in to

Cigna e. Services • Enter your User ID and Password to log in to the Secured Provider Portal (www. gwhcignaforhcp. com) • If you are not already registered to use the website, click “Register Now”. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna THN-2011 -051 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized 14

Secured Provider Portal – Home Page • View important updates to plans and services

Secured Provider Portal – Home Page • View important updates to plans and services • Check the details of processed claims • View precertification requirements • Access helpful resources, including: Clinical guidelines Payment guidelines Dispute resolution Reference guides Note: Some links may redirect to cigna. com or cignaforhcp. com Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 15

Cost of Care Estimator Cost estimation capability now available for patients Using a secure

Cost of Care Estimator Cost estimation capability now available for patients Using a secure website, your patients with Cigna administered medical coverage can: • Compare quality & outcomes measures for services • Produce personalized cost estimates • Research cost This new capability is an extension of our efforts to offer transparency to our customers, and help them better understand what they can expect to pay out of pocket. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 16

Cost of Care Estimator - updates Estimating tool for Health Care Professionals: • Now

Cost of Care Estimator - updates Estimating tool for Health Care Professionals: • Now Available for more plans: HMO/Network, Open Access, PPO, POS Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 17

Electronic Claims Submissions Attachments and Corrected/Secondary Claims • Cigna accepts secondary claims electronically •

Electronic Claims Submissions Attachments and Corrected/Secondary Claims • Cigna accepts secondary claims electronically • Cigna accepts corrected claims electronically Milliman Study: electronic transaction savings opportunities Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 18

Online Remittance Reports www. cignaforhcp. com • View your Remittance Reports online same day

Online Remittance Reports www. cignaforhcp. com • View your Remittance Reports online same day • Reconcile payments same day • New remittance tracking number • Search and download online reports • Reduce the amount of paperwork you receive • As of September 2, 2011, Remittance Reports are only available online Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 19

Cigna and Med. Solutions, Inc Effective October 1, 2011 CIGNA, including the GWHCIGNA network

Cigna and Med. Solutions, Inc Effective October 1, 2011 CIGNA, including the GWHCIGNA network has entered into an expanded relationship with Med. Solutions, Inc. (MSI) to provide radiology benefit and network management services. • The following services do not require utilization management review and will not be affected by this change: Inpatient high-technology radiology services Emergency Room radiology services Outpatient radiology services other than CT, MR, PET, and nuclear cardiac studies • MSI will finalize claim payments for the outpatient, non-emergent high-technology radiology procedures Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 20

ABOUT HEALTHSPRING Cigna acquired Health. Spring, Inc. and its subsidiaries, including Bravo Health, a

ABOUT HEALTHSPRING Cigna acquired Health. Spring, Inc. and its subsidiaries, including Bravo Health, a Health. Spring company, and Health. Spring of Florida, on January 31, 2012. • One of the nation’s largest health plans, whose primary focus is Medicareeligible individuals • Health. Spring is based in Nashville, Tennessee, and currently operates Medicare Advantage plans in the following states: Alabama Georgia Mississippi Tennessee West Virginia Delaware Illinois New Jersey Texas Florida Maryland Pennsylvania Washington, D. C. • Includes a national stand-alone prescription drug plan Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 21

WORKING TOGETHER What the acquisition means to health care professionals • There are no

WORKING TOGETHER What the acquisition means to health care professionals • There are no changes to how health care professionals interact with Cigna or Health. Spring. • Continue to use existing processes and procedures for Cigna and Health. Spring. • There are no changes to: – Network participation – health care professionals who participated in just one network prior to the acquisition, continue to participate in only that network today – Contracts – Fee schedules – Administrative processes – Continue to use the same claim, eligibility and benefits checks, and precertification procedures that you use today – Referral procedures – Continue to refer patients to network participating physicians, facilities, and vendors – Patient ID cards – Contacts Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 22

HIPAA 5010 • Frequently Asked Questions (FAQs) are available on our website (www. cignaforhcp.

HIPAA 5010 • Frequently Asked Questions (FAQs) are available on our website (www. cignaforhcp. com > Resources > Communications > HIPAA 5010/ICD 10 Updates) or call 1. 800. 88 CIGNA (882. 4462) if you have questions about the changes required or CIGNA's readiness to support the required changes. ***Companion guides are available through your clearinghouse vendor. ICD-10 The federal government, through the Centers for Medicare and Medicaid Services (CMS), is driving the health care industry to upgrade diagnosis and procedure coding standards to ICD-10 by October 1, 2013. On February 16, 2012, the Department of Health and Human Services announced the intent to delay the ICD-10 mandatory implementation date of October, 1 st, 2013. Cigna will continue work on Enterprise compliance based on current project plan deliverable timelines. Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 23

COMPLIANCE TIME LINE Cigna is working towards the ICD-10 compliance date of October 1,

COMPLIANCE TIME LINE Cigna is working towards the ICD-10 compliance date of October 1, 2013. 2011 2012 2013 2014 2015 2016 Regulatory Time Line October 1, 2012 October 1, 2013 ICD-10 External Compliance Testing ICD-9 processing Dual processing (ICD-9 and ICD-10) Design solutions for ICD -10 Leverage ICD-10 Process ICD-10 claims and support ICD-9 runoff ICD-10 processing value realized ICD-10 -Based Claims ICD-9 -Based Claims Health plans will need to accept both ICD-9 and ICD-10 codes for several years to support claim runoff after the ICD-10 compliance date of October 1, 2013. 1. Accept ICD-9 claims for dates of service or discharge before the October 1, 2013 compliance date 2. Accept ICD-10 claims after October 1, 2013 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna 24

Demographic Changes Please notify us in writing 90 days before changing your office or

Demographic Changes Please notify us in writing 90 days before changing your office or billing address, telephone number, tax identification number or specialty. Submit your demographic changes to: State Connecticut, Delaware, Illinois, Indiana, Iowa, Maine, Massachusetts, Michigan, Minnesota, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, West Virginia, Wisconsin Submission Options ■ Phone: 1. 888. 663. 8081 ■ Fax: 1. 877. 358. 4301 ■ Email: providerdata@cigna. com Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, ■ Phone: 1. 888. 663. 8081 ■ Fax: 1. 888. 208. 7159 Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, Virgin Islands, ■ Email: pdmtampa@cigna. com Washington DC Alaska, Arizona, California, Colorado, Hawaii, Idaho, Kansas, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming ■ Phone: 1. 888. 663. 8081 ■ Fax: 1. 860. 687. 7336 ■ Email: pdmglendale@cigna. com Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna THN-2011 -051 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized 25

Questions? "Cigna" is a registered service mark and the "Tree of Life" logo is

Questions? "Cigna" is a registered service mark and the "Tree of Life" logo is a service mark of Cigna Intellectual Property, Inc. , licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. 000000 00/11 © 2012 Cigna