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SERVICE PROVIDERS

WILSON-MCSHANE CORPORATION, FUND OFFICE


3001 Metro Drive, Suite 500
Bloomington, MN 55425
(800) 622-8780 or (952) 854-0795
Fax (952) 854-1632  Claims Fax: (952) 851-3521
Business hours are Monday-Friday, 8:00-5:00pm central time

  • Claim Administrator
    • Claims Forms, Claim Filing and Level 1 Claim Appeals for Dental Plan, Vision Plan, Life, AD&D, and Disability Income Benefits
    • Claim Forms and Level 1 Claim Appeals for Medical Plan Benefits
    • Eligibility and Plan Benefit Information
    • Pre-treatment Estimates for Dental Benefits
    • HRA Account Administrator
    • COBRA Administrator
    • Medicare Part D Notice of Creditable Coverage
    • Summary of Benefits and Coverage (SBC)
  • COBRA Administrator
    • COBRA Information
    • Cost of COBRA and COBRA Self-Pay Premium Payments
  • HRA Account Administrator
  • Plan Adrministrator
    • Level 2 Claim Appeals
  • HIPAA Privacy & Security Officers
    • HIPAA Privacy Notice
 

CIGNA

Cigna
Cigna Healthcare
P.O. Box 188004
Chattanooga, TN 37422
Electronic Payer ID: 62308
(800) 768-4695

  • PPO Network for the Medical Plan

    • Network Provider Directory
    • Additions/Deletions of Providers
    • Claim Filing for PPO Network Providers and Claim Filing for Non-PPO Providers
    • Send claims to the address listed above
    • To access the online directory for the Open Access Plan (OAP) Network, visit
      Cigna Online Directory , enter your search location, select medical plans then OAP

  • Disease Management, Health Advocates

    • For confidential information and assistance managing these health conditions: asthma, chronic obstructive pulmonary disease (COPD), Type 1 and 2 diabetes, osteoarthritis, peripheral arterial disease, cardiac concerns like health disease, angina, coronary artery disease, congestive heart failure, acute myocardial infarction, low back pain, and behavioral concerns like depression, anxiety and bipolar disorder, please call this program’s health professionals.
    • Cigna’s Health Advocates will identify and then contact members with these conditions. Health Advocates provide one on one coaching and online tools to help members best manage their condition.

  • Utilization Management Company (UM Company)

    • Precertification Review
    • Case Management
    • Appeals of Level 1 UM Review Decisions
    • For precertification of services other than CT, MRI and PET scans, call Cigna at (800) 768-4695
    • For precertification of CT, MRI and PET scans, call MedSolutions at (866) 249-3808
  • Prescription Drug Program
    Mail Order and Reimbursement for Non-Network Retail Pharmacy Use:
    Cigna Pharmacy Service Center
    P.O. Box 188053
    Chattanooga, TN 37422
    (800) 244-6224
  • Customer service is available 24 hours a day, 7 days a week for precertification, ordering mail order drugs, questions, etc.
    • Retail Network Pharmacies
    • Mail Order (Home Delivery) Service
    • Reimbursement for Non-Network Retail Pharmacy use
    • Formulary
    • Precertification of certain outpatient drugs
    • Mobile app for pharmacy benefits
    • Narcotic Management Program
    • Specialty Drugs