Cigna dental claims: where and how to submit

Electronic submission is the fastest way to get Cigna dental claims paid. Send them through your clearinghouse to payer ID 62308. If you file on paper, match the box to the product: DPPO and indemnity claims go to P.O. Box 188037, Chattanooga, TN 37422-8037, while Cigna Dental Care (DHMO) claims go to P.O. Box 188046 for general dentists or 188045 for specialists. Sending a DPPO claim to a DHMO box is a common cause of delay.

Verify eligibility and benefits on CignaforHCP before the visit. The portal shows eligibility and benefits, and claim and payment detail. Confirming the plan type (DPPO vs Dental Care DHMO) up front tells you exactly where and how the claim should go.

Cigna's DPPO office guide says network claims submitted more than 180 days from the completion date may be denied, subject to state and federal rules. If a claim is denied for late filing, the network dentist may not bill the patient for that amount, so the loss is the practice's.

Cigna Dental Care (DHMO) general dentists must submit encounter data weekly, and Cigna rejects encounter data submitted outside its 90-day validation period. One payer ID, 62308, covers indemnity, DPPO, and DHMO claims and encounters.

On the DPPO, a predetermination is voluntary and not a preauthorization. Cigna advises one when extensive work is planned and charges exceed $200, with supporting pre-operative x-rays. On the DHMO, no preauthorization is required for payment, and a preauthorization is valid for 90 days.

Attachments go through standard EDI 275 transactions from your clearinghouse, the DentalXChange attachment service, or NEA FastAttach. Cigna's attachment guidelines ask for:

• Periodontal claims: periodontal charting from within the last six months, plus a current full-mouth series or bitewings.
• Multiple anterior crowns or onlays: current periapical x-rays.
• General anesthesia and IV sedation: a narrative showing medical necessity.
• Mailed films: returned only with a self-addressed stamped envelope.

Bill crowns and other multi-visit procedures on the delivery date, not the preparation date. Cigna warns that submitting on the prep date causes related services, such as a build-up, to be denied as inclusive.

To correct an electronic claim, Cigna's guidance is to set the claim frequency code to 7 for a replacement or 8 to void, so it is recognized as a corrected claim rather than a duplicate.

Before appealing, call 800.Cigna24 (800-244-6224). Cigna says timely-filing and incomplete-claim denials can often be fixed with a real-time adjustment on that call. Written appeals go to Cigna Dental Health, Inc., P.O. Box 188044, Chattanooga, TN 37422-8044, and Cigna aims to decide within 60 days. DHMO provider appeals are due within 180 calendar days of the denial. Cigna's DHMO guide also lists a National Appeal Unit at P.O. Box 188047, so use the address on your EOB. Some states set their own deadlines, such as 365 days for a first-level appeal in Arizona, 180 days in California, and 90 days in New Jersey.

For what makes an appeal succeed, see our dental appeals guide.

• DPPO and EPO: fee-for-service claims to P.O. Box 188037.
• Cigna Dental Care (DHMO): general dentists send encounters to P.O. Box 188046 and specialists send claims to P.O. Box 188045. Patient copays come from the Patient Charge Schedule. If a general dentist refers out work within their own skills, Cigna may back-charge them the specialist's fee.
• Dental Shared Administration plans: claims are submitted to and paid by the third-party administrator, not Cigna.
• CignaPlus Savings: a discount program, not insurance, so there are no claims.
• Medicare Advantage: after HCSC acquired Cigna's Medicare business, Cigna Dental continues to manage supplemental dental benefits for HealthSpring from January 2026, through the Cigna Seniors DPPO network, using payer ID 62308 or P.O. Box 188037.