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Home > Provider > Form Center

Form Center

Our Global HealthCare Management Services (GHCMS) team is dedicated to making it easy to work together with hospitals and doctors outside of the US.

If you are a provider outside of the United States, the first step to becoming a preferred international provider in our growing network is completing an application form.

Physician Profile (Non US Providers Only)
Submit your application

Hospital/Clinic Profile (Non US Providers Only)
Submit your application

Medical/Dental/Vision Claim (Non US Providers Only)



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If you are provider in the United States and would like more information about becoming a CIGNA HealthCare participating provider, please call our health plan office nearest you. Please click here for a list of our health plan offices.

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Contact Us

If you are a provider outside of the US and you want to learn more about the value of becoming one of our preferred providers, please contact us: 

Markus Zettner, Director, Global Network Development:      +302.797.3494
                                                                                                  Fax: +302.797.3055
Email GHCMS:                                                           CIEBProvider@cigna.com

Submit invoices and claim forms to:                                 Fax: +302.797.3043

                                                                                                                  OR, Mail to:

                                                                                                   CIGNA International  
                                                                                                            ATTN: GHCMS
                                                                                                  590 Naamans Road
                                                                                        Claymont, DE 19703, USA
Email GHCMS:                                                             CIEBProvider@cigna.com

General eligibility and benefits:                                    Phone: +302.797.3100
Questions: toll free, 24/7                                        (reverse charges accepted)
                                                                                                  Fax: +302.797.3150
                                                                                    (AT&T Direct 800.243.6998)