Cigna 835

Cigna 835 Electronic Remittance Advice: Questions And Answers

Cigna 835 Electronic Remittance Advice is the electronic transaction which provides claim payment information in the HIPAA mandated ACSX12 005010X221A1 format. Cigna 835 Electronic Remittance Advice files are used by practices, facilities, and billing companies to autopost claim payments into their systems. Find below some typical questions regarding Cigna 835 Electronic Remittance Advice and answers to them.

Who can I contact to determine which fields are changing on the 835 remittance advice?

Cigna has provided all trading partners with our technical guides (companion guides). You should work with your trading partner to determine what is changing.

Will Cigna be able to provide 5010 835 test files from 4010 837 data to health care professionals or groups?

Cigna is not testing directly with health care professionals or groups. Cigna is testing with its connected trading partners. You should work directly with your trading partner to make certain they are prepared to accept 5010 information.

Will Cigna support unique member IDs for dependents?

Yes. Cigna has unique IDs for dependents.

Will Cigna require a TA1 – Interchange Acknowledgment?

Yes, Cigna will request a TA1 acknowledging receipt of the 835.

Will Cigna send 835s for Medicare Advantage HMO patients?

Yes. Cigna is implementing the 835 for Medicare Advantage HMO patients, although the date the 835 is available through your trading partner may be later than the date 835s are available for other Cigna products. A separate enrollment is not needed to receive 835 for Cigna Medicare Advantage HMO patients. Cigna will automatically enroll any health care professionals already receiving 835s for Cigna’s other products.

Why is “80705” returned in the REF payer ID of the 835?

“80705” is returned on the 835 to help you identify 835s for patients on the GWH-Cigna network.

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