CIGNA Out-of-Network Claim Form
Duke offers both outpatient and inpatient mental health and substance abuse benefits under each of our medical plans. Mental health and substance abuse benefits are administered through CIGNA Behavioral Health. Fill out the CIGNA Out-of-Network Claim Form and mail it to:
Cigna Behavioral Health
Attn: Claims Service Dept.
P.O. Box 188022
Chattanooga, TN 37422
Claims must be submitted within 180 days of date of service.
| Form Name | Format |
|---|---|
| CIGNA Out-of-Network Claim Form |
* Some Duke HR forms may require you to list your Duke Unique ID. If you do not know or are unsure of your Duke Unique ID, you can look it up here.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.