Pay per submission with credits or a one-time card payment. Cost depends on patient or provider use and delivery method. No monthly subscription is required.
Medical office pricing per submission
Fax: 5 credits, or $4.99 by card when credits are insufficient.
Portal, phone or mail: 3 credits, or $2.99 by card when credits are insufficient.
Office approval is separate from payment. Personal and shared office credit balances are separate.
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.
Cigna
- 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
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 $2.99 per submission
Sign up free — pay by card or credits.
⚠️ BAA required for PHI
Self-service FaxSeal is not authorized for PHI. Do not use this provider workflow for HIPAA-regulated PHI unless your organization has a countersigned Enterprise BAA and written implementation approval.
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