Good Morning
This is the system we use to make sure we receive the 3min back pay
What is OMD
We look up specific employers in this system to verify if we handle EAP benefits, disability, and incentives.
What is OLAM
this system allows us to view detailed account information for HRAs and FSAs
What is CFUNDS
Cigna uses this vendor for DME and sleep studies
When is CARECENTRIX
What does nba stand for?
What is NEXT BEST ACTION
We use this system to take phone calls
What is FINESSE
this system allows us to quote pricing information to a customer before services are rendered.
What is GROUP
this is our main resource for customer questions regarding their HSA Bank Account
What is 1CLOUD
Cigna uses this vendor to assist with advanced radiology services
what is EVICORE( FORMALLY KNOW AS MEDSOLUTIONS)
in the moment NBAs are brought up based on what we've entered in this
What is TRIGGER AREA
We use this system to check our schedules for the day
What is NICE
We can find this resource in C-kit or pre-enrollment list when we need additional information on an employer.
What is COVER LETTER
We follow this IRS document to know if charges are allowed on spending accounts
What is 213D LIST/ CIGNA.COM/EXPENSES
Cigna uses this company for medical necessity review services as well as claims processing for PT,OT & Chiro.
what is ASH( AMERICAN SPECIALTY HEALTH)
These are the 5 responses available for selection for NBAs
What is NOT ADDRESSED, ACCEPTED, DECLINED,UN DECIDED, AND NO LONGER VALID
We use this system to ensure we are keeping our commitments to our customers
What is FMS
We refer to these documents to verify if services are covered and what the requirements are for coverage.
What is COVERAGE POLICIES(MEDICAL INDEX)
We use this tool to help customers save money on their Advanced Radiology service
What is COST TRANSPARENCY TOOL
We use this internal system to verify which Cigna vendor we use in a customer's area
What is SERVICE AREA LOOK UP TOOL
what is the abc's
What is APPROPRIATE, BENEFICIAL, AND CONNECTING
We use this system to check our personal stats
What is MOS TOOL
what is the BIG 6
What is EMPATHY, TONE, COMMUNICATION, MAKE IT EASY, FOLLOW THROUGH(URGENCY), CUSTOMER INFORMATION PROTECTION
We can use either of these two systems to determine if precertification is required for a specific CPT code
What is CSA LOOK UP TOOL/ SERVICE PROCEDURE CODE GUIDE
We use this vendor for breast pumps for customers in the Hillsborough, Pasco, & Pinellas Florida counties
What is BayCare
where can you fine the in the moment trigger list
what is THE CALL HUB