Understanding Cigna’s Network Variations: A Comprehensive Guide

Are you a healthcare provider treating patients with Cigna insurance?Cigna maintains a distinct network for individuals who carry ID cards with the GWH-Cigna identifier in the upper right corner. Known as the GWH-Cigna network, it differs in various aspects from the standard Cigna network, including claim and service channels, contractual relationships with ancillary vendors, Explanations of Payment (EOP), and electronic data interchange (EDI) transactions. In this guide, we aim to elucidate these differences and assist healthcare providers in determining if the services they offer fall within the in-network scope. 

Providing In-Network Services 

When patients present the GWH-Cigna ID card, healthcare services are considered in-network under the following conditions: 

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