Question

When submitting an appeal to Cigna for timely filing, which of the following is NOT required?

a.
Original EOB.
b.
Completed appeal form.
c.
Documentation to justify reversal of the decision.
d.
The patient's complete medical chart.

Answer 1

When appealing to Cigna for timely filing, the patient's complete medical chart is not typically required. Instead, the focus should be on providing an original EOB, a filled out appeal form, and justification for reversing the decision based on timely filing issues.

Step-by-step explanation:

When submitting an appeal for timely filing to Cigna, the following items are typically required: an original Explanation of Benefits (EOB), a completed appeal form, and documentation to justify the reversal of the decision. However, the patient's complete medical chart is not typically required for a timely filing appeal, as this level of detail is often not necessary to address filing date issues. It is important to focus on providing Cigna with clear evidence and a rationale as to why the claim was not filed in a timely manner and why an exception should be granted.