I wanted to know if there was any behavioral health providers experiencing an audit with Cigna. They have closed 5 treatment centers in Palm Beach.
Currently Cigna will not be issuing anymore policies in the State of Florida. Existing Individual Policies are now being investigated for proof of residency . They advised that they sent this to many patients to verify and if the patient does not contact insurance they will mail them a check with all the premium payments made to date and terminate their policy and retro back insurance reimbursements due to policy fraud.
Now when your verifying benefits as a provider you will not know that the patient is under Residency verification . A couple of our patients received this letter and we have contacted the insurance but we are now in a dilemma of contacting all of our Cigna patients in-house and discharged that have an individual policy that was purchased this year. Hope this helps anyone and if someone can shed light if they may know something.
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Cigna Audit on Substance abuse Treatment Centers