Cigna Prior Authorization Phone Numbers & Contacts 2026

Why "the Cigna number" Isn't One Number

Front-desk staff searching for "the Cigna prior authorization phone number" usually assume there's one line to memorize. There isn't. Cigna routes calls to different departments depending on whether the service is Cigna-reviewed or EviCore-delegated, whether the patient has a commercial plan or Medicare Advantage, and whether the caller is a provider or a member. Dial the wrong one and the call either gets transferred — burning the hold time you already spent — or the rep can't help at all.

This guide is a routing map, not a script. Every number below is checked against Cigna's current provider-facing pages so your staff dial the right line the first time.

Cigna Provider Contact Directory at a Glance

Every number above is sourced from Cigna's own Precertifications and Prior Authorizations page and Appeals and Disputes page, current as of this guide's publish date. Phone and fax numbers change without much notice — if a call doesn't route the way this table describes, treat the number printed on the specific denial letter or determination notice as authoritative over any published list, including this one.

Provider Line vs. Member Services — Don't Call the Wrong One

The 1-800-882-4462 number in the table above is a provider line — it's the number Cigna publishes on its healthcare-provider precertification, credentialing, and appeals pages for practices submitting requests or checking status. It is not the number printed on a patient's insurance card.

Cigna does not publish one universal member customer service number the way it does for providers. Members are directed to call the number on their own Cigna Healthcare ID card, which varies by plan type, according to Cigna's official contact page. That's a deliberate design: Cigna routes member calls by the specific plan and line of business printed on that card, so a number that works for one patient's plan may not work for another's.

The practical consequence for front-desk staff: if you're calling on behalf of a practice to submit or follow up on a prior authorization, use 1-800-882-4462 or the applicable EviCore line — never the number on the patient's card. Conversely, if a patient calls your office asking why "the insurance number" didn't work, the number they tried was likely the provider line, not their own member services number.

EviCore-Delegated Services: Which Number to Call by Specialty

Cigna has delegated prior authorization review for a large share of specialty services to EviCore by Evernorth, a Cigna-owned utilization management company. When a service falls under EviCore's scope, calling Cigna's main provider line at 1-800-882-4462 gets you transferred — EviCore manages its own intake, review, and appeals process independently, as detailed in our Cigna EviCore appeal guide.

Two categories moved out of EviCore's scope on January 1, 2026: Post-Acute Care (skilled nursing, inpatient rehab, LTAC, home health) and — effective March 1, 2026 — durable medical equipment. Both now route through HealthSpring (Cigna's rebranded Medicare Advantage business) via Availity Essentials, payer ID 52192, not EviCore. For the full breakdown of what changed and when, see our Cigna HealthSpring prior authorization guide.

What to Have Ready Before You Call

Whichever number applies, have this ready before the phone starts ringing — it's the difference between a five-minute call and a callback tomorrow:

• Patient's Cigna member ID and date of birth — from the current card, not an older chart note
• CPT/HCPCS and ICD-10 codes for the requested service
• Requesting provider's NPI and Tax ID
• A one-paragraph clinical summary — diagnosis, relevant history, and medical necessity rationale
• The EviCore case reference number, if this is a follow-up call on an existing EviCore case (Cigna case numbers and EviCore case numbers are different systems and are not interchangeable)

For the full call script — what to say, how to anchor the call to a reference number, and how to document it for a later appeal — see our prior authorization phone call script guide.

When the Portal Beats the Phone

Phone lines exist for urgent requests, complex cases needing discussion, and situations where the electronic option is genuinely unavailable. For everything else, the portal is usually faster because it skips hold time entirely:

• CignaForHCP.com — commercial PA submission, claims status, and appeal filing for practices with portal entitlement
• CoverMyMeds — Cigna's electronic PA platform for medical and pharmacy requests (replaced PromptPA)
• evicore.com/provider — EviCore case status, P2P scheduling, and reconsideration submission
• Availity Essentials — HealthSpring Medicare Advantage PAC and DME requests (payer ID 52192)

Reserve the phone for urgent/expedited requests, cases where a reviewer needs a real-time clinical conversation, or confirming receipt when a portal submission doesn't show a status update after a reasonable wait.

How Muni Calls Handles Cigna Prior Authorization Calls

Muni Calls places the outbound call, routes to the correct line — Cigna's main provider number or the applicable EviCore specialty line — and works through the request without a staff member sitting on hold. It captures the reference number, rep name and ID, and stated decision date on every call, the same anchors covered in our prior authorization phone call script guide, and logs them to the patient record automatically. It's priced at a flat $499 per month for unlimited calls across major payers, including Cigna, with a signed BAA included (verified from the Muni pricing page).

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Frequently Asked Questions

What is the Cigna prior authorization phone number?

1-800-882-4462 (1-800-88-CIGNA), Cigna's general provider services line, handles prior authorization submission by phone when the electronic option isn't available. This is a provider line, not a member customer service number.

What number do I call for a service managed by EviCore instead of Cigna?

It depends on the specialty. Most EviCore-delegated services (imaging site-of-care, MSK, cardiology, oncology, genetics, sleep medicine) route to 1-866-668-9250. Gastroenterology and radiation therapy use 1-844-457-9810, and radiology/advanced imaging precertification uses 1-888-693-3211. Check the denial or determination letter to confirm EviCore is the reviewer before calling.

Is 1-800-882-4462 the same number patients use?

No. 1-800-882-4462 is published on Cigna's provider-facing precertification, credentialing, and appeals pages. Cigna does not publish one universal member number — patients are directed to call the number printed on their own Cigna Healthcare ID card, which varies by plan.

What is the Cigna prior authorization fax number?

866-873-8279 for medical prior authorization requests, per Cigna's current precertification page and its own authorization intake fax cover sheet. For pharmacy/drug prior authorizations, submit electronically through CoverMyMeds when possible; if faxing, use the number printed on the specific drug PA form rather than assuming the medical fax number applies.

Where do I call for Cigna Medicare Advantage (HealthSpring) prior authorization?

For Post-Acute Care services (skilled nursing, inpatient rehab, LTAC, home health) and, as of March 1, 2026, durable medical equipment, submit through Availity Essentials using payer ID 52192 for HealthSpring Medicare Advantage — not EviCore and not the standard Cigna commercial line. Non-PAC Medicare Advantage services generally continue through CoverMyMeds.

What if I don't have an EviCore case reference number when I call to follow up?

Have the patient's Cigna member ID, date of birth, and the date the original request was submitted ready instead — the EviCore rep can typically look up the case from those details. Once located, write down the EviCore case reference number for any future call, since Cigna's claim numbers and EviCore's case numbers are separate systems.

Can I use the Cigna commercial PA fax number for a Medicare Advantage HealthSpring request?

No. HealthSpring PAC and DME requests route through Availity (payer ID 52192), not fax. Sending a HealthSpring request to the commercial medical PA fax number will not reach the correct review team.

Does calling 1-800-882-4462 work for both submitting a new PA and checking on an existing one?

Yes. Cigna's provider line handles both prior authorization submission when electronic options aren't available and status checks on requests already submitted, along with credentialing and general claims questions routed through the same main number.

Ready to Stop Dialing the Wrong Number?

A misrouted prior authorization call costs the same hold time as a correct one — the difference is whether it actually moves the request forward. Bookmark the directory above, and confirm the reviewer named on any denial letter before assuming which line applies.

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This guide reflects Cigna prior authorization contact information current as of July 2026, including the January 1, 2026 HealthSpring Medicare Advantage transition and the March 1, 2026 DME delegation change. Phone numbers, fax numbers, and department routing can change; always treat the number on a specific denial or determination letter as authoritative over any published directory. This information is for administrative and billing purposes and is not medical advice.