Tuesday January 24, 2017 from 9:00 AM to 11:00 AM CST
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Council Activity Center 
8828 N. Stemmons Freeway
Suite 550
5th Floor
Dallas, TX 75247

Driving Directions 


Andrew D. Nash 
Dallas/Fort Worth Minority Supplier Development Council 

How to do Business with Cigna 


National Buying Needs:

Brokerage/Insurance firm to manage:


Pre Sale (Brokerage arm) 

-  Advertise and promote to agents

-  Rate and quote CGI (life, ltd, std) products

Post Sale (Administration arm) 

-  Process Group app and employee applications

-  Electronically issue Group policy and certificates

-  Provide ongoing billing electronically or Group Portal

-  Receive ongoing premium electronically

-  Pay agents via ACH; post commission statement on Portal

-  Provide customer service for all services except claims

-  Confirm eligibility, salary, and coverage before sending claims to CGI


Electronic Data Interchange (EDI): electronic medical/ dental claim submission

  • Electronic Mailroom: the ability to take paper mail (claims, correspondence, invoices, health surveys etc..) add convert them into electronic format and then submitted electronically to Cigna.


  • Overpayment Recovery:

-  Data Mining and Identification: the ability to review large amounts of medical claim data to identify potential overpayments.

-  Coordination of Benefits (determining if Cigna has overpaid based on primary coverage)

-  Diagnostic Related Group (DRG) auditing for hospital records

-  Credit balance auditing

-  Subrogation claims identification and recovery


 Biometrics – defined as suppliers providing biometric services at client sites.  

  • Independent Review Organizations (IRO)-  defined as suppliers performing independent medical exams and peer review services.


  • Functional capacity exams


  • Vocational Rehab services


  • Technical Products         

 . Digital payments systems

  • Plan decision support tools
  • Location based messaging
  • Bill negotiation service
  • Tele-health & Remote Monitoring
  • Cost estimator
  • Provider rating
  • Appointment scheduler
  • Loyalty/Retention Program


  Localized Buying Needs:

The following services generally support local RFP activities

  • Onsite non-clinical staffing
  • Printed Materials ( PII& PHI data – compliance needed)
  • Health & Wellness Management
  • Massage Therapy
  • Health Education Seminars
  • FMLA management
  • Commuter management program
  • Healthy cooking demonstrations


Creative Value- Add solutions in support of Medical and Dental sales activity