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Prior authorization to Cigna

A large share of Cigna prior authorization requests — including most imaging, oncology, musculoskeletal procedures, and specialty pharmacy — are routed through eviCore rather than Cigna directly. Submitting to the wrong portal is one of the leading causes of delayed decisions on Cigna PAs. Check Cigna's online coverage tool before starting to confirm whether your specific CPT code routes through eviCore or Cigna's own portal, and use eviCore's stricter clinical criteria when building your justification.

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Cigna

CommercialMedicare Advantage

PA Fax: +18005249914
PA Phone: +18008665195
Standard turnaround: 3 business days
Urgent turnaround: 72 hours

Include diagnosis code, CPT code, and clinical rationale. Cigna accepts fax and eviCore portal.

Cigna provider portal →

What you'll need

★ PortalFaxPortal preferred

Form required

eviCore clinical review (imaging, oncology, musculoskeletal, and specialty Rx)

☐Check if procedure routes through eviCore (imaging, oncology, MSK, specialty Rx)
☐Ordering provider NPI
☐Patient member ID
☐ICD-10 diagnosis code(s)
☐CPT procedure code(s)
☐Detailed clinical rationale (eviCore criteria are strict)
☐Rendering provider NPI

▶Common denial reasons

⚠eviCore criteria not met — attach clinical guidelines and peer-reviewed support
⚠Submitted to wrong portal (many Cigna PAs go through eviCore, not Cigna directly)
⚠Clinical rationale too vague — be specific about why alternatives failed
⚠Missing rendering provider information

Verified 2026-05-20. Check payer site for current rules →

From $1.99 per submission

PA Agent requires an account so you can track submissions, record outcomes (approved/denied), and pre-fill appeals automatically. It's free to join.

You can preview the form below — sign in before generating or submitting.

Submission checklist

○Your name, date of birth, member ID

○Your situation described (min 50 chars · 0 entered)

✓Insurer fax number

○AI appeal letter generated & reviewed

1 of 4 checks complete

Prior Authorization Request

1. Your Doctor's Information(optional — helps strengthen your appeal)

Doctor Name

NPI (10 digits)

Practice / Clinic Name

Doctor Phone

Doctor Fax

2. Your Information & Insurance

Patient Name *

Date of Birth * (MM/DD/YYYY)

Member ID *

Group Number

3. Clinical Details(optional — include if known)

ICD-10 Code (if known)

Diagnosis (if known)

CPT Code (if known)

Denied Treatment / Procedure

Urgency

4. Your Medical Situation

Describe your situation in your own words *(min 50 chars)0/10000

Explain why you need this treatment, what your doctor has recommended, and what happened when the insurer denied it. The more detail you provide, the stronger your appeal.

5. AI Appeal Letter

Privacy notice: Clicking “Generate with AI” sends your description to OpenAI to draft your appeal letter. Do not include sensitive information beyond what is medically relevant.

6. Submission Method

✓ Pre-filled with Cigna's PA fax number.