Important CIGNA Update

 

Please remember, as a CIGNA participating provider, you have agreed to treat CIGNA patients and provide usual and customary chiropractic care for the $45.00 global fee. The global fee covers ALL routine/standard chiropractic covered services rendered to the patient on each date of service. This includes but is not limited to the following:

  • Spinal and extraspinal manipulations (CMT’s)
  • Examinations (E/M visits)
  • Radiographs           
  • ALL standard chiropractic covered services (including but not limited to…) 
    • electrical stimulation
    • mechanical traction
    • ultrasound
    • massage therapy
    • manual therapy
    • diathermy
    • hot and cold packs
    • dry hydrotherapy
    • therapeutic exercises
    • neuromuscular reeducation

It is important to note that you cannot refuse to provide a needed covered service to a CIGNA member nor may you balance bill the member for any covered services that you may provide.  Payment for all covered services provided is included in the global payment of $45.00. 

Please note:  If the EOB shows the $45.00 allowable but shows $.00 payment for all other routine chiropractic services that you provided, then you cannot balance bill the member for those services!

Additionally, as a CIGNA participating provider, you CANNOT send a patient elsewhere for an x-ray.  Again, per your CNC contract, you must provide usual and customary chiropractic care for $45 per visit which includes any needed radiographs.  


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