How to File a Medical Claim

In most cases, physicians and facilities will file claims for you. Physicians must file on the form HCFA-1500; hospitals must use the form UB-92.

  • Medical claims should be mailed to:
    CIGNA Payor 62308
    P. O. Box 5909
    Scranton, PA, 18505-5200.


  • Correspondence and dental claims should be mailed to:
    SAMBA
    11301 Old Georgetown Rd
    Rockville, MD 20852-2800.

Providers may submit claims electronically to CIGNA Payor 62308.

Click here if you need to download a claim form.

Questions? Call SAMBA´s Member Services representatives at 1-800-638-6589.