What are the procedures for obtaining prior authorizations?

Obtaining prior authorizations through CIGNA HealthSpring involves a series of structured steps that ensure the necessary services or medications are approved before they are delivered. First, the healthcare provider or the member needs to identify the service or medication that requires prior authorization. CIGNA HealthSpring typically requires prior authorization for certain services, procedures, and prescription medications that exceed specific criteria. Once the service or medication has been identified, the healthcare provider will need to submit a prior authorization request to CIGNA HealthSpring. This request often needs to include specific details regarding the member's medical history and the rationale for the requested service or medication. Providers can submit requests through CIGNA HealthSpring’s online portal, by fax, or through other methods outlined in their guidelines. After the request is submitted, CIGNA HealthSpring will review the information provided to make a determination. Members will be notified of the decision, and if the authorization is approved, it will specify the details, such as the duration and any stipulations necessary for obtaining the service or medication. For those interested in more precise guidelines or for the most up-to-date information on contacting CIGNA HealthSpring, it is advisable to visit their official website.