Which network fees will apply?
Your DHA fee schedule will apply when you provide covered services to Cigna PPO members; however, if you are also an in-network provider for another network accessed by Cigna, a different fee schedule may apply. If you have questions regarding your participation status or reimbursement rates, please contact Cigna at 800-244-6224 on or after March 1, 2025.
Important Information About Orthodontic Claim Payments:
To determine how Cigna calculates comprehensive orthodontic claim payments, we recommend submitting a predetermination prior to beginning the treatment to confirm your expected payments.
Note: Cigna's claim payment calculation is based on treatment duration and may impact your compensation for comprehensive orthodontic service.
For more information about how Cigna pays orthodontic claims, please reference the following link: https://dentalprovidernewsroom.com/dppo/tips-for-getting-paid-correctly-on-orthodontia-claims/?brand=. If you have any question or would like additional details, please call Cigna at 800-244-6224
If you do not wish to participate with Cigna for orthodontic services, you may opt out of this arrangement using the information above. If you choose to participate in this arrangement, you agree that your payment for orthodontic treatment will be calculated in accordance with Cigna's payment policies when treating Cigna members.
When a member comes to your office for care:
Check patient eligibility/benefits and verify that the patient's plan utilizes one of the following networks:
- Cigna Total.
- Cigna Total Plus.
- Cigna Advantage.
- A Cigna client specific network (see the list at the bottom of this page).