Question

If a provider wishes to submit for a first level provider payment review form Cigna, what is the timeframe for this type of dispute?

a.60 days
b.90 days
c.180 days
d.365 days

Answer 1

A provider has 180 days from the date of the EOB or payment notification to submit a first level provider payment review form to Cigna. Timeliness is crucial for the reconsideration of payment disputes.

Step-by-step explanation:

If a provider wishes to submit for a first level provider payment review form with Cigna, the timeframe for this type of dispute is 180 days from the date of the Explanation of Benefits (EOB) or payment notification. It's important for providers to be aware of this deadline so they can submit their disputes in a timely manner to Cigna for reconsideration. This process is a vital part of managing claims and ensuring that payment discrepancies are reviewed and resolved.