Seeing a Priority Health or Cigna Healthcare member in Michigan

Page last updated on: 2/16/26

 

Question

Priority Health member

Cigna Healthcare member
How do I know if my patient has Priority Health or Cigna Healthcare as the primary plan administrator?

Your patient will have a Priority Health ID card.

  • Your patient will have a Cigna Healthcare ID card or a Cigna Healthcare logo on the card.
  • Strategic Alliance or TPA plan ID cards will display the Cigna Healthcare logo and the name of the plan. 
  • Learn more about additional Cigna Healthcare Strategic Alliances. 
  • Cigna Healthcare members living in Michigan will have a co-branded ID card with the Priority Health logo on the front. 

  • Cigna Healthcare members traveling into the Priority Health service area with Away From Home Care on their ID card have traveling benefits and have access to the Priority Health network as well.

  • Any health plans or TPAs with access to Cigna Healthcare's national network can use the Priority Health PPO network.

What is the network and governing contract for reimbursement?

  • Providers in Michigan: Priority Health contractual terms and reimbursement apply, with a few exceptions in ancillary care. For Cigna Healthcare members getting ancillary services like durable medical equipment, behavioral health and home infusion, Cigna Healthcare's national ancillary agreements will apply. See FAQs below for more information about ancillary care.
  • Providers outside Michigan: Cigna Healthcare's contractual terms and reimbursement apply in all other states.

How do I confirm eligibility or benefits for my patients?

How do I submit claims?

See FAQs for exceptions related to ancillary care

  • Electronic: Use Priority Health payer ID 38217
  • Paper: Priority Health Claims
    P.O. Box 232
    Grand Rapids, MI 49501
  • Online
  • Electronic: Use Cigna Healthcare payer ID 62308
  • Paper: Use the address on back of ID card

Who processes claims and issues the explanation of payment, explanation of benefits, or statement of account?

See FAQs for exceptions related to ancillary care

Priority Health

Cigna Healthcare, a Cigna Healthcare TPA partner or a Cigna Healthcare Strategic Alliance partner

EOBs may indicate the Priority Health or Cigna Healthcare payment applied.

 

How can I review claim status?

See the back of the patient's ID card.

Cigna Healthcare Customer Service: 800.882.4462

Online: Cigna for Health Care Professionals

Who do I contact if I have issues with payment from Cigna Healthcare?
  

Call Cigna Healthcare Provider Services line: 800.882.4462

Haven’t received payment? Cigna Healthcare will need your claim number, patient name and date of birth, date of service and Member ID number

Remittance amount doesn’t match fee schedule? Call the number above or complete Cigna Healthcare’s online appeal form.

See Reimbursement FAQs for common claim questions.

How do I submit an appeal?

See the Provider Manual for information on claims and authorization appeals by plan type.

Through the mail:
Attn: Cigna Healthcare Appeals Unit
PO Box 188011
Chattanooga, TN 37422

If the Cigna Healthcare ID card indicates GWH-Cigna Healthcare or 'G' on the front of the card:

Attn: Cigna Healthcare Appeals Unit
PO Box 188062
Chattanooga, TN 37422-8062

Who do I contact for prior authorization or for medical management services?

  • See the patient's ID card for instructions
  • Online

How do I request prior authorizations for high-tech radiology?

In Michigan: Login to your provider account and Request an Authorization

Outside Michigan: Use our provider manual

Who do I contact if I have a question on a Behavioral Health claim for a Cigna Healthcare member? 

Behavioral Health providers are excluded from the Alliance. Services are provided through Evernorth Health Services. Contact Cigna Healthcare’s provider service line at 800.433.5768 to review the status of the claim.

Evernorth Health Services Resources